Individual
ELISSA LYNN HOPKINS KEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10134
TX
363AS0400X
Surgical Physician Assistant
PA10134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129522
NCCPA
TX
01
—
452297ZP6S
MEDICARE P-TAN USP
TX
01
—
8094NT
BCBS - USA
TX
01
—
8095NT
BCBS - USP
TX
01
—
PA10134
PA LICENCE
TX
Enumeration date
09/25/2015
Last updated
05/26/2023
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