ISTMENIA ELLIS

STAFFORD, TX
NPI1669177465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1096900)
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
ISTMENIA ELLIS
12310 MEADOW RIDGE DR
STAFFORD, TX 77477-2249
Phone number: 832-483-4781
Mailing Address
ISTMENIA ELLIS
12310 MEADOW RIDGE DR
STAFFORD, TX 77477-2249
Phone number: 832-483-4781
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