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Individual

ELI M MIZRAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12951 SOUTH FWY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
PO BOX 4346, DEPT 548, HOUSTON, TX 77210-4346
(713) 331-1850
(713) 526-2036

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G1722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110134285
RR MEDICARE
05
136898701
TX
05
136898704
TX
05
136898708
TX
Enumeration date
11/07/2005
Last updated
02/15/2011
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