Individual
MISS ELIZABETH ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17002 GLENEAGLE DR S, CONROE, TX 77385-4614
(832) 447-7123
(346) 351-1857
Mailing address
17002 GLENEAGLE DR S, CONROE, TX 77385-4614
(832) 447-1723
(346) 351-1857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09672
TX
Other
Enumeration date
06/02/2014
Last updated
12/02/2023
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