Individual
MR. VIDA STEVE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1407A KEY ST, BRENHAM, TX 77833-4543
(936) 556-2091
Mailing address
PO BOX 1735, GEORGETOWN, TX 78627-1735
(936) 556-2091
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
109331
TX
Other
Enumeration date
05/18/2007
Last updated
12/05/2018
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