Individual
CYNTHIA P. ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21324 PROVINCIAL BLVD, SUITE B, KATY, TX 77450-7580
(281) 685-3240
Mailing address
1562 HOVEDEN DR, KATY, TX 77450-4904
(281) 685-3240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC1049
TX
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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