Individual provider · NPI-1

Mara Beth Antonoff, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Houston, TX

NPI number1679784839
StatusActive
Last updated in NPPESAug 15, 2019

Details

NPI
1679784839
Entity type
Individual (NPI-1)
Name
Mara Beth Antonoff
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2007
Last updated
Aug 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)Q0728TXYes

Other names

  • Mara Beth Rosenthal (Former Name)

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Phone 713-792-6161

Mailing address

Po Box 4439
Houston, TX 77210-4439

Phone 713-792-2991

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