Individual
DR. ELLA JAZMIN ARIZA-HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104977
MN
207R00000X
Internal Medicine Physician
53263
MN
207R00000X
Internal Medicine Physician
FA2094085
TX
207RI0200X
Infectious Disease Physician
F0183406
TX
207RI0200X
Infectious Disease Physician
Primary
N9501
TX
207RI0200X
Infectious Disease Physician
TRN9358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283527401
—
TX
01
—
8CV518
BCBS
TX
01
—
P01010273
RR MEDICARE
TX
Enumeration date
09/04/2008
Last updated
06/19/2012
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