Individual
DR. IZVIETA DESPAIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8203 WILLOW PLACE DR S STE 419, HOUSTON, TX 77070-5624
(832) 237-5667
(832) 237-5655
Mailing address
PO BOX 691789, HOUSTON, TX 77269-1789
(832) 237-5656
(832) 237-5655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17113
TX
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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