Elyse Nicole Portillo
Pediatrician Pediatric Emergency Physician
6621 Fannin St Ste A2210
Houston
, Texas 77030-2374
Elyse Nicole Portillo
Pediatrician Pediatric Emergency Physician
6621 Fannin St Ste A2210
Houston
, Texas 77030-2374
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Elyse Nicole Portillo
- 6621 Fannin St Ste A2210
- Houston, TX
- Zip : 77030-2374
- Phone :
Second Address
- Elyse Nicole Portillo
- 6621 Fannin St Ste A2210
- Houston, TX
- Zip : 77030-2374
- Phone : (832) 824-5327
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | S8098 | TX |
| N | 208000000X | Pediatrician | 265871 | MA |
National Provider Identifier
| NPI | 1144563735 |
|---|---|
| Provider Name | Elyse Nicole Portillo |
| First Address | Houston, TX 77030-2374 |
| Second Address | Houston, TX 77030-2374 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2013 |
| Last Update Date | 24/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.