Individual
GLORIA DIANA ILIESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4545 POST OAK PLACE DR, 130, HOUSTON, TX 77027-3164
(713) 960-8008
(713) 960-0965
Mailing address
4545 POST OAK PLACE DR, 130, HOUSTON, TX 77027-3164
(713) 960-8008
(713) 960-0965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00629642
TDL
TX
Enumeration date
09/18/2007
Last updated
02/20/2008
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