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Chante Monique Ellison-Hodges

Family Medicine

Allopathic & Osteopathic Physicians

24721 Tomball Pkwy, Tomball, TX 77375-7727

PECOS Enrollment

This provider is enrolled in PECOS as CHANTE ELLISON-HODGES.

Based on the most recent information from CMS, provider Chante Monique Ellison-Hodges is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 32 days ago.

Profile Details

Provider ID
1548338619
Provider Type
Individual
Full Name
Ellison-Hodges, Chante Monique
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/30/2006
Last Updated
8/17/2015

Contact Information

Practice Location

24721 Tomball Pkwy, Tomball, TX 77375-7727

(281) 290-0786

(281) 290-0863

Mailing Location

24721 Tomball Pkwy, Tomball, TX 77375-7727

(281) 290-0786

(281) 290-0863

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Q1595 Texas
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 052351 Georgia

Chante Monique Ellison-Hodges

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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License

Code

Description

License

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