Individual
DR. ELIZABETH TARA NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. MBBS
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S4033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011142
MEDICAL LICENCE NUMBER
CA
05
—
408640701
—
TX
05
—
408640702
—
TX
05
—
408640703
—
TX
Enumeration date
07/26/2013
Last updated
06/14/2021
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