Individual
MEREDITH BORDELON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 233-1999
(972) 233-3666
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP06757
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133877
TX
367500000X
Certified Registered Nurse Anesthetist
RN117385
LA
Other
Enumeration date
03/12/2012
Last updated
08/12/2020
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