Individual provider Active NPI

Issis N Elvir

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1063390565
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19448 Issued in TX
Practice address
4801 Woodway Dr Ste 306W
Houston, TX 77056-1828
Phone
(832) 225-3345
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19448 TX Primary

Addresses

Primary practice location

4801 Woodway Dr Ste 306W
Houston, TX 77056-1828

Mailing address

4801 Woodway Dr Ste 306W
Houston, TX 77056-1828
Phone (201) 903-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA19448TXMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1063390565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "201-903-6155",
            "fax_number": "201-903-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "832-225-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIR",
        "first_name": "ISSIS",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.