Provider Demographics
NPI:1114419694
Name:ELBATSH, JAMELH
Entity Type:Individual
Prefix:
First Name:JAMELH
Middle Name:
Last Name:ELBATSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12850 WHITTINGTON DR APT 905
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4734
Mailing Address - Country:US
Mailing Address - Phone:713-443-0767
Mailing Address - Fax:
Practice Address - Street 1:12850 WHITTINGTON DR APT 905
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4734
Practice Address - Country:US
Practice Address - Phone:713-443-0767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX942616163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse