Individual
DR. ALICIA TASKARA WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9305 PINECROFT DR, THE WOODLANDS, TX 77380-3223
(281) 943-2456
(281) 943-2453
Mailing address
9305 PINECROFT DR, THE WOODLANDS, TX 77380-3223
(281) 943-2456
(281) 943-2453
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
Enumeration date
06/14/2007
Last updated
10/13/2011
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