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General NPI Number Information
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NPI Number | 1013191907
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Entity Type | Organization
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Legal Business Name | GABRIEL A. MAISLOS, PA
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 2900 WESLAYAN ST STE 650
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City | HOUSTON
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State | TX
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Zip | 77027-5132
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Country | US
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Telephone | 713-541-3199
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Fax | 713-541-5809
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Provider Business Mailing Address
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Address Line | 2900 WESLAYAN ST STE 650
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City | HOUSTON
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State | TX
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Zip | 77027-5132
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Country | US
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Telephone | 713-541-3199
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Fax | 713-541-5809
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GABRIEL A MAISLOS
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Credential | DPM
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Telephone | 713-541-3199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1576P
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1576
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License Number State | TX
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