Individual
ELISE MARIE MORVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6977 MAIN ST, HOUSTON, TX 77030
(713) 797-1616
(713) 793-3779
Mailing address
6977 MAIN ST, HOUSTON, TX 77030-3701
(713) 797-1616
(713) 793-3779
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
35909
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100037425
TENNCARE PHP
TN
05
—
3899610
—
TN
01
—
4027847
BLUECROSS BLUESHIELD BLUE
TN
05
—
64044985
—
KY
Enumeration date
08/11/2006
Last updated
09/09/2019
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