Individual
ELISSA BRUNAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-1701
Mailing address
1106 WOODHORN DR, HOUSTON, TX 77062-2731
(713) 392-9369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
10/01/2021
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