Individual
DR. ELLY E. POURASEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC/A
Contact information
Practice address
908 TOWN AND COUNTRY BLVD., SUITE 120, HOUSTON, TX 77024-2208
(713) 984-7562
(866) 961-3161
Mailing address
9071 SOUTH 1300 WEST, SUITE 100, WEST JORDAN, UT 84088
(801) 938-1117
(801) 938-2771
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80074
TX
237600000X
Audiologist-Hearing Aid Fitter
80074
TX
Other
Enumeration date
03/13/2008
Last updated
04/29/2011
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