Individual
MARK ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7600 BEECHNUT ST, HOUSTON, TX 77074
(713) 456-5168
Mailing address
1612 LAMONTE LN, HOUSTON, TX 77018-4102
(586) 580-7600
(248) 967-7794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101020097
MI
207P00000X
Emergency Medicine Physician
Primary
R5257
TX
Other
Enumeration date
06/21/2012
Last updated
09/16/2024
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