Healthcare Provider Details

I. General information

NPI: 1851958862
Provider Name (Legal Business Name): GABRIEL A. MAISLOS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 WESLAYAN ST. STE. 650
HOUSTON TX
77027-5132
US

IV. Provider business mailing address

2900 WESLAYAN ST. STE. 650
HOUSTON TX
77027-5132
US

V. Phone/Fax

Practice location:
  • Phone: 713-541-3199
  • Fax: 713-541-5809
Mailing address:
  • Phone: 713-541-3199
  • Fax: 713-541-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL A MAISLOS
Title or Position: OWNER/PRESIDENT
Credential: DPM
Phone: 713-541-3199