IndividualActive
Andrea Tellison, CEO
NPI 1043284847 · Home Modifications Contractor · Missouri City, TX
Provider details
- NPI number
- 1043284847
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Credential
- CEO
- Sex
- Female
- License
- 0065196 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
4415 Wavertree Dr
Missouri City, TX 77459-2949
Phone: (281) 499-8503
Fax: (281) 403-1421
Approximate (ZIP-level) locationGet directions
Mailing address
4415 Wavertree Dr
Missouri City, TX 77459-2949
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.