Individual
ELENA CARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 249-2244
Mailing address
25503 THISTLEWAITE LN, SPRING, TX 77373-3165
(915) 490-3133
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
235221
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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