Healthcare Provider Details

I. General information

NPI: 1881190098
Provider Name (Legal Business Name): EMILY ELIZABETH HELLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 BEN TAUB LOOP
HOUSTON TX
77030
US

IV. Provider business mailing address

2900 N BRAESWOOD BLVD APT 1421
HOUSTON TX
77025-2370
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-2000
  • Fax:
Mailing address:
  • Phone: 832-567-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberAP134915
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: