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NPI Code Detail

MEDICARE: GABRIEL A. MAISLOS, PA

MEDICARE: GABRIEL A. MAISLOS, 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
1213ES0103XFoot & Ankle Surgery Podiatrist1576PTX

General Provider Information

NPI Number : 1215355029
Entity Type Code : Organization
Provider Name (Legal Business Name) : GABRIEL A. MAISLOS, PA
Provider Business Mailing Address
First Line : 7777 SOUTHWEST FWY STE 506
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1816
Country : US
Telephone Number : 713-541-3199
Fax Number : 713-541-5809
Provider Business Practice Location Address
First Line : 7777 SOUTHWEST FWY STE 506
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1816
Country : US
Telephone Number : 713-541-3199
Fax Number : 713-541-5809
Authorized Official
Title or Position : OWNER
Name : DR. GABRIEL A MAISLOS
Credential : DPM
Telephone Number : 713-541-3199
Provider Enumeration Date : 03/31/2014
Last Update Date : 03/31/2014

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Directions to “GABRIEL A. MAISLOS, PA ” Practice Location

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