Individual
LISA ANN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-RX AUTH
Contact information
Practice address
3737 RED BLUFF RD STE 150, PASADENA, TX 77503-3307
(409) 266-1888
(713) 473-7160
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-2515
(409) 747-6240
(713) 984-6525
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP109107
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
610412
TX
Other
Enumeration date
09/23/2006
Last updated
09/17/2022
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