Elizabeth J Wanner, MD., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELIZABETH J WANNER, MD., PA

Practice address

1101 Alma St
Ste 102
Tomball, TX 77375-4554

Phone

(281) 351-1411

Fax

(281) 351-0240

NPI assigned

Mar 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Jean Wanner, MD., PA

Title

Physician/Owner

Phone

(281) 351-1411

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1811261837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J WANNER, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-351-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Community Health
• Elite Diagnostics, Inc
• Elite Health Ride
• Elite Medical Laboratory Solutions LLC
• Elite Surgical Assistants
• Chante Monique Ellison-Hodges, M.D.
• Samir Elmantar
• Jamillah L Elvehoey, PMHNP-BC
• Obioha Emenanjo
• Cristina Enders, RPH

• Family Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.