Individual
ELIZABETH IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 WEST LOOP S STE 215, HOUSTON, TX 77027-9082
(346) 244-3363
Mailing address
3103 HEATHERGLEN RD, MONTGOMERY, TX 77356-8962
(346) 244-3363
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1377927
TX
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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