Healthcare Provider Details

I. General information

NPI: 1871733121
Provider Name (Legal Business Name): ELISE MICHELE BARRETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELISE YASMEEN SADOUN

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 PARK TEN PL STE 300
HOUSTON TX
77084-7885
US

IV. Provider business mailing address

9450 SW GEMINI DR PMB49084
BEAVERTON OR
97008
US

V. Phone/Fax

Practice location:
  • Phone: 713-407-3000
  • Fax: 713-461-5307
Mailing address:
  • Phone: 713-407-3000
  • Fax: 713-461-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39002779A
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberP2163
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP2163
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: