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Alice Civitello, PA-C
Medical Physician Assistant in Houston, Texas
NPI 1922402841

Alice Civitello is a Medical Physician Assistant based in Houston, TX and is specialized in Medical. Alice Civitello practices in Houston, TX and has the professional credentials of PA-C. The NPI Number for Alice Civitello is 1922402841 and holds a License No. PA00385 (Texas).

The current practice location address for Alice Civitello is 6620 Main St, Houston, TX and can be reached out via phone at 713-798-2545 and via fax at 713-798-2578.

Location: 6620 Main St, Houston, TX, 77030-3411
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Provider Profile Details
NPI Number
1922402841
Provider Name
Alice Civitello
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6620 Main St, Houston, TX, 77030-3411
Phone Number
713-798-2545
Fax Number
713-798-2578
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA00385 01 TX TEXAS MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
6620 Main St
City
State
Zip
77030-2348
Phone Number
713-798-2545
Fax Number
713-798-2578
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Provider Business Mailing Address Details
Address
6620 Main St
City
State
Zip
77030-2348
Phone Number
713-798-2545
Fax Number
713-798-2578
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00385 (Texas)
Definition
Definition to come...
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