Individual
ELIZABETH ANNE KUBOTA-MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
MEDICAL OFFICE BUILDING, 5TH FLOOR, 17580 INTERSTATE 45 SOUTH, WM 560, THE WOODLANDS, TX 77384
(936) 267-7500
Mailing address
6431 FANNIN ST, MSB 3.151, HOUSTON, TX 77030-1501
(713) 500-5800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R8927
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
R8927
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2016
Last updated
08/29/2024
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