Individual
ALYSSA L ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8000 RESEARCH FOREST DR STE 360, SPRING, TX 77382-1559
(281) 292-1191
Mailing address
8000 RESEARCH FOREST DR STE 360, SPRING, TX 77382-1559
(281) 292-1191
(936) 539-3635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U2478
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10074828
TX
Other
Enumeration date
04/15/2021
Last updated
08/07/2024
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