Individual
BRIAN M ELIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15620 FM 529, HOUSTON, TX 77095
(281) 855-7774
(219) 855-7785
Mailing address
1934 HILLGREEN DR, KATY, TX 77494-1803
(281) 797-6365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12961
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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