Individual
MR. DONALD R ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2618 PIERCE ST, HOUSTON, TX 77003-6038
(832) 269-5641
(832) 742-5869
Mailing address
2618 PIERCE ST, HOUSTON, TX 77003-6038
(832) 269-5641
(832) 742-5869
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/30/2010
Last updated
12/28/2023
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