MEDICARE: ANNA L.C. MAPP M.D.

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
1	207W00000X	Ophthalmology Physician	M5347	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8X9030	OTHER	TX	BCBS OF TEXAS
2	26-0677131	OTHER	TX	TAX IDENTIFICATION NUMBER
3	M5347	OTHER	TX	MEDICAL LICENSE

General Provider Information

NPI Number	:	1508912932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA L.C. MAPP M.D.

Provider Business Mailing Address
First Line	:	PO BOX 420430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-0430
Country	:	US
Telephone Number	:	713-651-9323
Fax Number	:	713-651-0099

Provider Business Practice Location Address
First Line	:	3300 S GESSNER RD
Second Line	:	SUITE 125
City	:	HOUSTON
State	:	TX
Zip	:	77063-5100
Country	:	US
Telephone Number	:	713-651-9323
Fax Number	:	713-651-0099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/24/2013

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Directions to “ ANNA L.C. MAPP M.D.” Practice Location

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