Individual
PRISILA A FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6200
(713) 500-6201
Mailing address
PO BOX 301173, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M4782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181484001
—
TX
01
—
8V5024
BCBSTX
TX
01
—
8X6100
BCBS
TX
Enumeration date
06/24/2006
Last updated
08/03/2016
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