Provider Demographics
NPI:1508912932
Name:MAPP, ANNA LC (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LC
Last Name:MAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LC
Other - Last Name:MAPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 420430
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0430
Mailing Address - Country:US
Mailing Address - Phone:713-651-9323
Mailing Address - Fax:713-651-0099
Practice Address - Street 1:3300 S GESSNER RD
Practice Address - Street 2:SUITE 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5100
Practice Address - Country:US
Practice Address - Phone:713-651-9323
Practice Address - Fax:713-651-0099
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5347207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X9030OtherBCBS OF TEXAS
TX26-0677131OtherTAX IDENTIFICATION NUMBER
TXM5347OtherMEDICAL LICENSE
TX26-0677131OtherTAX IDENTIFICATION NUMBER