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General NPI Number Information
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NPI Number | 1770015729
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Entity Type | Organization
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Legal Business Name | ELIAS F DARIDO MD PA
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 4120 SOUTHWEST FWY STE 150
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City | HOUSTON
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State | TX
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Zip | 77027-7340
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Country | US
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Telephone | 832-945-8717
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Fax | 281-762-1452
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Provider Business Mailing Address
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Address Line | 4120 SOUTHWEST FWY STE 150
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City | HOUSTON
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State | TX
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Zip | 77027-7340
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Country | US
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Telephone | 832-945-8717
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Fax | 281-762-1452
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. VALERIE MARIN
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Credential |
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Telephone | 832-945-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | M7132
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License Number State | TX
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