Elt Surgical Assoiciates P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008009 Issued in TX

Legal business name

ELT SURGICAL ASSOICIATES P.A.

Practice address

4120 Southwest Fwy
Suite 200
Houston, TX 77027-7339

Phone

(713) 355-8600

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Miss Jodie Renee Ellis

Title

Supervisor

Phone

(713) 355-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437215969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-355-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-355-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELT SURGICAL ASSOICIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "713-355-8600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Elssmann, MD
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• Esraa Eltaraifee, MD
• Yasien Osama Eltigani, MD, MPH
• Holger Eltzschig, MD
• Millicent Ifeoma Elumelu

• Ambulatory Surgical Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.