Individual
ARIELLE LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6410 FANNIN ST STE 210, HOUSTON, TX 77030-3004
(323) 257-2888
(713) 796-9467
Mailing address
6410 FANNIN ST STE 210, HOUSTON, TX 77030-3004
(832) 325-7288
(713) 383-1464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14018
TEXAS MEDICAL BOARD
TX
Enumeration date
09/15/2020
Last updated
07/22/2025
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