Ertel-Moore, Denise Elaine

Ertel-Moore, Denise Elaine is an sole proprietor health care provider with primary practice located at 7887 Cambridge St , Houston TX 77054-2013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ertel-Moore, Denise Elaine can be contacted via phone (281) 802-6054.

Contact Information

Primary practice address
7887 Cambridge St Houston TX 77054-2013
Phone: (281) 802-6054
Fax: (281) 817-5863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 616776 Texas

Profile Details

NPI number 1639129364
LBN Legal business name Ertel-Moore, Denise Elaine
Credentials MSN, APRN, NP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Aug 31st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639129364 NPPES
Texas Other NP7255 BCBSTX
Texas Other 827N81 BCBSTX
Texas MEDICAID 096174005 BCBSTX

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