Provider Demographics
NPI:1346238045
Name:DAUMAS-BRITSCH, LILETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:LILETTE
Middle Name:
Last Name:DAUMAS-BRITSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12755 WOODFOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2737
Mailing Address - Country:US
Mailing Address - Phone:713-455-1306
Mailing Address - Fax:713-455-9560
Practice Address - Street 1:12755 WOODFOREST BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2737
Practice Address - Country:US
Practice Address - Phone:713-455-1306
Practice Address - Fax:713-455-9560
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H28TOtherBLUE CROSS ID
TX8A0458Medicare ID - Type UnspecifiedMEDICARE ID
TX00H28TOtherBLUE CROSS ID