Individual
DR. GABRIEL ALEXANDER MAISLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2900 WESLAYAN ST STE 650, HOUSTON, TX 77027-5132
(713) 541-3199
(713) 541-5809
Mailing address
2900 WESLAYAN ST STE 650, HOUSTON, TX 77027-5132
(713) 541-3199
(713) 541-5809
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1576
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1576P
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012478
AMERIGROUP
TX
05
—
147117902
—
TX
01
—
51KM
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2006
Last updated
05/04/2021
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