Individual
MARY ELLEN SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N SAM HOUSTON PKWY E STE 215, HOUSTON, TX 77060-4000
(281) 578-1205
(281) 931-4429
Mailing address
515 N SAM HOUSTON PKWY E STE 215, HOUSTON, TX 77060-4000
(281) 578-1205
(281) 931-4429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
695982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095158402
—
TX
05
—
095158404
—
TX
Enumeration date
03/04/2015
Last updated
03/04/2015
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