SearchTexas2255A2300X

Elicia Black, ATC

NPI 1639620347 · on the registry since 2016 · sole proprietor

Practice

Address
2518 Valley Forest Dr
Missouri City, TX 77489
Phone
(281) 299-8404

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-26

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