Individual
ELLA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8430 BLUE QUAIL DR, MISSOURI CITY, TX 77489-5337
(281) 900-1894
Mailing address
8430 BLUE QUAIL DR, MISSOURI CITY, TX 77489-5337
(281) 900-1894
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
247745
TX
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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