Individual
ELISSA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7575 SAN FELIPE ST, SUITE 155, HOUSTON, TX 77063-1711
(713) 266-9955
(281) 266-9956
Mailing address
7575 SAN FELIPE ST, SUITE 155, HOUSTON, TX 77063-1711
(713) 266-9955
(281) 266-9956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8242ND
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2006
Last updated
01/06/2014
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