Individual
MS. ELIZABETH WYLIE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04325
TX
363AM0700X
Medical Physician Assistant
PA04325
TX
363AS0400X
Surgical Physician Assistant
PA04325
TX
363AS0400X
Surgical Physician Assistant
PA58950
MD
Other
Enumeration date
06/05/2006
Last updated
05/19/2025
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