MEDICARE: ADELE PLETA RABER MD

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
1	208000000X	Pediatrics Physician	G0517	TX

General Provider Information

NPI Number	:	1871586875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELE PLETA RABER MD

Provider Business Mailing Address
First Line	:	6463 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3101
Country	:	US
Telephone Number	:	713-777-1117
Fax Number	:	713-777-2226

Provider Business Practice Location Address
First Line	:	6463 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3101
Country	:	US
Telephone Number	:	713-777-1117
Fax Number	:	713-777-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	07/08/2007

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