Individual
DR. MAXINE GRACE JAUCIAN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N0723
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
N0723
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
294984
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
N0723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217775003
—
TX
01
—
8CZ947
BCBS (MDACC)
TX
Enumeration date
03/03/2009
Last updated
07/19/2024
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