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NPI Code Detail

MEDICARE: MS. ELIZABETH ANN MUSSALLI PA

MEDICARE: MS. ELIZABETH ANN MUSSALLI PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianPA19550TX
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144054917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANN MUSSALLI PA
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR STE 2.300
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17500 W GRAND PKWY S
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2562
Country : US
Telephone Number : 281-725-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 02/24/2026

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Directions to “ MS. ELIZABETH ANN MUSSALLI PA” Practice Location

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