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NPI Code Detail

MEDICARE: ERIC S POWITZKY M.D.

MEDICARE:   ERIC S POWITZKY  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
1207Y00000XOtolaryngology PhysicianL4653TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28G3011OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1952383200
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC S POWITZKY M.D.
Provider Business Mailing Address
First Line : 4191 BELLAIRE BLVD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1003
Country : US
Telephone Number : 713-795-5343
Fax Number : 713-795-4851
Provider Business Practice Location Address
First Line : 4191 BELLAIRE BLVD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1003
Country : US
Telephone Number : 713-795-5343
Fax Number : 713-795-4851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 06/10/2020

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Directions to “ ERIC S POWITZKY M.D.” Practice Location

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