Individual
WANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
601 ROCKMEAD DR, KINGWOOD, TX 77339-2107
(713) 486-7400
(281) 359-2811
Mailing address
6400 FANNIN ST, HOUSTON, TX 77030-1521
(713) 867-4004
(281) 359-2811
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00037
TX
Other
Enumeration date
06/12/2006
Last updated
06/10/2022
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