MEDICARE: ADRIANNE R POWELL MD

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	208M00000X	Hospitalist Physician	M2084	TX
2	207R00000X	Internal Medicine Physician	M2084	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881780062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNE R POWELL MD

Provider Business Mailing Address
First Line	:	2017 CASTLEWIND CT
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-6997
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1313
Country	:	US
Telephone Number	:	346-570-4979
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	11/17/2024

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