Organization
ELISABETH NETHERTON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISABETH NETHERTON MD (PSYCHIATRIST)
(832) 390-1878
Entity
Organization
Contact information
Practice address
2901 WILCREST DR STE 520, HOUSTON, TX 77042-6073
(713) 400-7400
Mailing address
2901 WILCREST DR STE 520, HOUSTON, TX 77042-6073
(713) 400-7400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q3066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851835955
NPI
TX
Enumeration date
11/02/2017
Last updated
11/02/2017
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