Individual
ADRIAN ELLIS SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15402 HAZEN POINT DR, CYPRESS, TX 77433-6186
(203) 506-1529
Mailing address
PO BOX 2306, CYPRESS, TX 77410-2306
(203) 506-1529
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
305776
TX
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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