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NPI Code Detail

MEDICARE: ELIZABETH MAPLES PA

MEDICARE: ELIZABETH MAPLES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA01880TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548298003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MAPLES PA
Provider Business Mailing Address
First Line : 7324 SOUTHWEST FWY
Second Line : SUITE 640
City : HOUSTON
State : TX
Zip : 77074-2012
Country : US
Telephone Number : 713-484-5652
Fax Number : 713-988-9550
Provider Business Practice Location Address
First Line : 7324 SOUTHWEST FWY
Second Line : SUITE 640
City : HOUSTON
State : TX
Zip : 77074-2012
Country : US
Telephone Number : 713-484-5652
Fax Number : 713-988-9550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 02/04/2026

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Directions to “ ELIZABETH MAPLES PA” Practice Location

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