Organization
ELT SURGICAL ASSOICIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JODIE RENEE ELLIS (SUPERVISOR)
(713) 355-8600
Entity
Organization
Contact information
Practice address
4120 SOUTHWEST FWY, SUITE 200, HOUSTON, TX 77027-7339
(713) 355-8600
Mailing address
4120 SOUTHWEST FWY, SUITE 200, HOUSTON, TX 77027-7339
(713) 355-8600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008009
TX
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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