Individual
CHANTE MONIQUE ELLISON-HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24721 TOMBALL PKWY, TOMBALL, TX 77375-7727
(281) 290-0786
(281) 290-0863
Mailing address
24721 TOMBALL PKWY, TOMBALL, TX 77375-7727
(281) 290-0786
(281) 290-0863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
052351
GA
207Q00000X
Family Medicine Physician
Primary
Q1595
TX
Other
Enumeration date
11/30/2006
Last updated
08/17/2015
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