Individual
JHOANNE CHRISTINE D. ELEVAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 S MAIN ST STE 109, STAFFORD, TX 77477-5406
(713) 336-4340
Mailing address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
782788
TX
363L00000X
Nurse Practitioner
Primary
AP132749
TX
363LP2300X
Primary Care Nurse Practitioner
AP132749
TX
Other
Enumeration date
10/26/2016
Last updated
05/23/2022
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