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NPI Code Detail

MEDICARE: ELISA MEADOWS LMSW

MEDICARE: ELISA MEADOWS LMSW
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
11041C0700XClinical Social Worker119195TX

General Provider Information

NPI Number : 1700710217
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA MEADOWS LMSW
Provider Business Mailing Address
First Line : 2516 WHITE OAK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77009-7324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4200 MONTROSE BLVD STE 410
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5445
Country : US
Telephone Number : 713-807-7518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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