Individual
MARY ELIZABETH AITKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1699 HERMANN DRIVE, UNIT 7105, HOUSTON, TX 77004
(501) 343-3225
Mailing address
800 MARSHALL ST # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-0897
AR
208000000X
Pediatrics Physician
Primary
J3724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129900001
—
AR
Enumeration date
10/13/2006
Last updated
08/09/2022
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