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Organization
WEST HOUSTON AESTHETIC AND PLASTIC SURGERY PLLC
Active
Organization
WEST HOUSTON AESTHETIC AND PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE EWING VER HALEN MPAS, PA-C (PHYSICIAN ASSISTANT)
(713) 818-5367
Entity
Organization
Contact information
Practice address
1717 WISTERIA WAY, WESTLAKE, TX 76262-9083
(713) 818-5367
Mailing address
PO BOX 1242, ROANOKE, TX 76262-1242
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
06/16/2018
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