De La Cruz, Maxine Grace Jaucian

De La Cruz, Maxine Grace Jaucian is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. De La Cruz, Maxine Grace Jaucian can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X N0723 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N0723 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 294984 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X N0723 Texas

Profile Details

NPI number 1982844916
LBN Legal business name De La Cruz, Maxine Grace Jaucian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Jul 19th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982844916 NPPES
Texas Other 8CZ947 BCBS (MDACC)
Texas MEDICAID 217775003 BCBS (MDACC)

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