| Doctor Name: | ELENA NOVOSAD |
| NPI Number: | 1053683870 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA - C |
| License Number: | PA07691 |
| Business Practice Address: | 920 Medical Plaza Dr., Suite 520 The Woodlands, TX - 77380 |
| Business Phone Number: | 8325623974 |
| Business Fax Number: | 8326639378 |
| Mailing Address: | 920 Medical Plaza Dr, Ste 520 THE WOODLANDS |
| State: | TX |
| Postal Code: | 773803204 |
| Phone Number: | 8325623974 |
| Fax Number: | 8326633978 |
| NPI Enumeration Date: | 02/09/2012 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA07691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |