Individual
DEBRA R ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2520 BF TERRY BLVD., FM 2218, ROSENBERG, TX 77471
(281) 342-6006
(281) 239-7554
Mailing address
2520 BF TERRY BLVD., FM 2218, ROSENBERG, TX 77471
(281) 342-6006
(281) 239-7554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320991801
—
TX
01
—
8409NA
BC/BS #
TX
Enumeration date
01/04/2013
Last updated
11/04/2013
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