Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | S1663 | TX |
NPI | 1326482761 |
---|---|
Provider Name | Dr. Paschalia Maria Mountziaris |
First Address | Houston, TX 77030-3722 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2013 |
Last Update Date | 20/06/2019 |