Individual
ELAINE C PELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2934
(713) 790-1349
(713) 790-0028
Mailing address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2934
(713) 790-1349
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255960-06
—
TX
05
—
125596005
—
TX
01
—
8S6752
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
05/11/2006
Last updated
01/13/2011
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