Individual
CYNTHIA DENISE BRASSELL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13130 FRY RD APT 534, CYPRESS, TX 77433-3347
(866) 544-0116
Mailing address
13130 FRY RD APT 534, CYPRESS, TX 77433-3347
(866) 544-0116
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
4K622N3
MS
Other
Enumeration date
02/27/2023
Last updated
08/26/2023
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