Provider Demographics
NPI:1376893065
Name:DR. SABRINA ECHOLS-ELLIOTT
Entity Type:Organization
Organization Name:DR. SABRINA ECHOLS-ELLIOTT
Other - Org Name:CJ MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINNESS MANANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-638-2216
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:281-501-9296
Mailing Address - Fax:832-767-2540
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 400A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:281-501-9296
Practice Address - Fax:832-767-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health