Organization
ELA PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA MELISSA LOPEZ MD (CEO)
(305) 742-6670
Entity
Organization
Contact information
Practice address
4747 BELLAIRE BLVD STE 375, BELLAIRE, TX 77401-4600
(832) 345-6352
Mailing address
4747 BELLAIRE BLVD STE 375, BELLAIRE, TX 77401-4600
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
03/23/2021
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