Individual
EWA ELENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-3800
(832) 825-3889
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-3800
(832) 825-3889
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
K2455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119035704
—
TX
Enumeration date
10/17/2006
Last updated
04/27/2011
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