Provider Demographics
NPI:1295850675
Name:ELLIOTT, SYLVIA S (MD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:S
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:S
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13102 CAMBRIDGE SHORES CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6708
Mailing Address - Country:US
Mailing Address - Phone:708-941-7018
Mailing Address - Fax:
Practice Address - Street 1:12885 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4807
Practice Address - Country:US
Practice Address - Phone:281-922-9500
Practice Address - Fax:281-922-9501
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010500732083X0100X
TXS48192083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN256960Medicare PIN
IN256960CMedicare UPIN