IndividualActive
Alice Civitello, PA - C
NPI 1922402841 · Medical Physician Assistant · Houston, TX
Provider details
- NPI number
- 1922402841
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA - C
- Sex
- Female
- Sole proprietor
- No
- License
- PA00385 (TX)
Practice location
6620 Main St
Ste 1225
Houston, TX 77030-2348
Phone: (713) 798-2545
Fax: (713) 798-2578
Mailing address
1 Baylor Plz
Houston, TX 77030-3411
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.