Individual
ERIN C ELLISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1714 KINGWOOD DR, KINGWOOD, TX 77339-3046
(281) 359-2020
(281) 359-7019
Mailing address
1435 MAPLE LOFTY TRAIL, KINGWOOD, TX 77345
(281) 359-2020
(281) 359-7019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9475-T
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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