Individual
DR. MARIA EZIAFA CHIEJINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6811 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3146
(254) 724-2111
Mailing address
1501 KINGS HWY LSCHSC DEPT. OF GASTROENTEROLOGY, SHREVEPORT, LA 71130
(318) 626-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
304415
LA
207RG0100X
Gastroenterology Physician
Primary
Q7665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362746502
—
TX
05
—
362746503
—
TX
Enumeration date
06/13/2013
Last updated
09/14/2020
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