ALICE CIVITELLO

HOUSTON, TX
NPI1922402841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA00385)
Enumeration Date2014-10-21
Last Update Date2014-10-21
Business Address
-- ALICE CIVITELLO PA - C
6620 MAIN ST STE 1225
HOUSTON, TX 77030-2348
Phone number: 713-798-2545
Mailing Address
-- ALICE CIVITELLO PA - C
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 713-798-4951