Provider Demographics
NPI:1154348142
Name:BARANOWSKA-DACA, ELZBIETA JANINA (MD)
Entity type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:JANINA
Last Name:BARANOWSKA-DACA
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 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 1052
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-988-8776
Mailing Address - Fax:
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:SUITE 1052
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-988-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5239207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00140216OtherRAILROAD GBA #
TX167783307Medicaid
TX8DF392OtherBCBS
8P5981OtherBCBS #
P01090421OtherRAILROAD MEDICARE
TX167783302Medicaid
DC0046OtherRAILROAD GBA #
0029MCOtherBCBS#
TX167783301Medicaid
I10345Medicare UPIN
TX8DF392OtherBCBS
TX167783302Medicaid
TX167783301Medicaid