Individual
MRS. ELLEN PENTECOST MCPHATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MS
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
48816-1470
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
731706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689327
—
LA
05
—
212170902
—
TX
05
—
212170903
—
TX
Enumeration date
03/09/2006
Last updated
04/26/2011
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