Individual provider · NPI-1

Wanda Elliott, LSA

Specialist/Technologist, Other, Surgical Assistant · Kingwood, TX

NPI number1902848070
StatusActive
Last updated in NPPESJun 10, 2022

Details

NPI
1902848070
Entity type
Individual (NPI-1)
Name
Wanda Elliott
Credential
LSA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2006
Certification date
Jun 10, 2022
Last updated
Jun 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical AssistantSA00037TXYes

Practice location

601 Rockmead Dr
Kingwood, TX 77339-2107

Phone 713-486-7400 · Fax 281-359-2811

Mailing address

6400 Fannin St
Houston, TX 77030-1521

Phone 713-867-4004 · Fax 281-359-2811

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