Individual
DR. ERNESTO KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 ELMSIDE DR, APT # 14, HOUSTON, TX 77042-3968
(786) 362-3934
Mailing address
3030 ELMSIDE DR, APT # 14, HOUSTON, TX 77042-3968
(786) 362-3934
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12-173
TX
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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