# MS. ELCY MATHAI JOHN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083611628
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | L8126 | TX | — |
| 207V00000X | Obstetrics & Gynecology Physician | 24991 | OK | — |
| 207V00000X | Obstetrics & Gynecology Physician | 34806 | OK | — |
| 207V00000X | Obstetrics & Gynecology Physician | L8126 | TX | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 12/27/2012
