Individual
MRS. ELIZABETH CHARPIOT MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6565 WEST LOOP SOUTH, SUITE 800, BELLAIRE, TX 77401
(713) 661-4383
(713) 661-4346
Mailing address
5523 RUTHERGLENN DR., HOUSTON, TX 77096
(713) 661-4383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08936
TX
Other
Enumeration date
04/10/2014
Last updated
03/22/2019
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