ELYSE NICOLE PORTILLO NPI 1144563735

NPI Information

Elyse Nicole Portillo is a pediatric emergency medicine emergency medicine in Houston, TX. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Elyse Nicole Portillo NPI is 1144563735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6621 FANNIN ST STE A2210
HOUSTON, TX
ZIP 77030-374
Phone: (832) 824-5327

The NPI 1144563735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 8/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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