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1871733121 NPI number — ELISE MICHELE BARRETT MD

NPI Number: 1871733121
Health Care Provider/Practitioner: ELISE MICHELE BARRETT MD

Information about “1871733121” NPI (ELISE MICHELE BARRETT MD) exists in 1871733121 in HTML format HTML  |  1871733121 in plain Text format TXT  |  1871733121 in PDF (Portable Document Format) PDF  |  1871733121 in an XML format XML  formats.

NPI Number : 1871733121 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871733121",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARRETT",
    "FirstName": "ELISE",
    "MiddleName": "MICHELE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SADOUN",
    "OtherFirstName": "ELISE",
    "OtherMiddleName": "YASMEEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9450 SW GEMINI DR",
    "SecondLineMailingAddress": "PMB49084",
    "MailingAddressCityName": "BEAVERTON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97008",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-407-3000",
    "MailingAddressFaxNumber": "713-461-5307",
    "FirstLinePracticeLocationAddress": "16001 PARK TEN PL STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77084-7885",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-407-3000",
    "PracticeLocationAddressFaxNumber": "713-461-5307",
    "EnumerationDate": "02/26/2009",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "39002779A",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083B0002X",
          "TaxonomyName": "Obesity Medicine (Preventive Medicine) Physician",
          "LicenseNumber": "P2163",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "P2163",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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