ELYSE NICOLE PORTILLO

HOUSTON, TX
NPI1144563735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: TX  S8098)
Additional Taxonomies208000000X Pediatrics
(Licence: MA  265871)
Enumeration Date2013-04-01
Last Update Date2020-08-24
Business Address
ELYSE NICOLE PORTILLO
6621 FANNIN ST STE A2210
HOUSTON, TX 77030-2374
Phone number: 832-824-5327
Mailing Address
ELYSE NICOLE PORTILLO
6621 FANNIN ST STE A2210
HOUSTON, TX 77030-2374
Phone number: