Provider Demographics
NPI:1689668394
Name:BASLER, ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:BASLER
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 1:7505 SOUTH MAIN
Mailing Address - Street 2:SUITE 530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4524
Mailing Address - Country:US
Mailing Address - Phone:713-799-1129
Mailing Address - Fax:713-799-1023
Practice Address - Street 1:7505 SOUTH MAIN
Practice Address - Street 2:SUITE 530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4524
Practice Address - Country:US
Practice Address - Phone:713-799-1129
Practice Address - Fax:713-799-1023
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHO163207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology