| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH HOUSTON | 1225653942 | 2020-06-09 |
Elizabeth Houston is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225653942. Registration indicates Elizabeth Houston is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Elizabeth Houston DO |
| Practice Office Address | 10010 KENNERLY RD SAINT LOUIS, MO US |
| Practice Office Telephone | 3145251328 |
| Mailing Address | 10010 KENNERLY RD SAINT LOUIS, MO 631282106 US |
| Business Telephone | 3145251328 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 615 S New Ballas Rd | Saint Louis, MO 631418221 | 3142516339 |
| 1400 US Highway 61 | Festus, MO 630284100 | 6369335337 |
| 901 E 5th St | Washington, MO 630903127 | 6362398231 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 2023008551
MO |