Portillo, Elyse Nicole

Portillo, Elyse Nicole is an individual health care provider with primary practice located at 6621 Fannin St Ste A2210 , Houston TX 77030-2374. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Portillo, Elyse Nicole can be contacted via phone (832) 824-5327.

Contact Information

Primary practice address
6621 Fannin St Ste A2210 Houston TX 77030-2374
Phone: (832) 824-5327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 265871 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X S8098 Texas

Profile Details

NPI number 1144563735
LBN Legal business name Portillo, Elyse Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Aug 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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