Glenn Ellisor, O.D

NPI 1407900590 · on the registry since 2007 · sole proprietor

Practice

Address: 1714 Kingwood Dr
Kingwood, TX 77339
Phone: (281) 359-2020
Fax: (281) 359-7019
Organisation at this address: Plumeria Health Pllc
Vision Source - Kingwood, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas