Organization
WEST HOUSTON AESTHETIC AND PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE EWING VER HALEN MPAS, PA-C (PHYSICIAN ASSISTANT)
(713) 818-5367
Entity
Organization
Contact information
Practice address
1717 WISTERIA WAY, WESTLAKE, TX 76262-9083
(713) 818-5367
Mailing address
PO BOX 1242, ROANOKE, TX 76262-1242
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
06/16/2018
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