Individual
MRS. PATRICIA C ELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501103/40277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C46M
BCBS
TX
01
—
430032292
RAILROAD MEDICARE
TX
Enumeration date
06/16/2005
Last updated
03/04/2015
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