Healthcare Provider Details

I. General information

NPI: 1477409621
Provider Name (Legal Business Name): DALYA ELSWEISY-GREEN AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 SPENCER HWY
PASADENA TX
77504-1202
US

IV. Provider business mailing address

506 CAMPBELL DR
LEAGUE CITY TX
77573-3153
US

V. Phone/Fax

Practice location:
  • Phone: 713-359-4000
  • Fax:
Mailing address:
  • Phone: 832-829-3780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1241194
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: