MEDICARE: DR. STEVEN D. MAISLOS 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	208800000X	Urology Physician	L8425	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760418503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN D. MAISLOS M.D.

Provider Business Mailing Address
First Line	:	5420 DASHWOOD DR STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5332
Country	:	US
Telephone Number	:	713-771-5300
Fax Number	:	713-771-0346

Provider Business Practice Location Address
First Line	:	5420 DASHWOOD DR STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5332
Country	:	US
Telephone Number	:	713-771-5300
Fax Number	:	713-771-0346

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/19/2023

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