Individual
DR. ELIZA B SAN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., F.A.C.N.
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
Mailing address
PO BOX 304, SANTA TERESA, NM 88008-0304
(505) 589-1122
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K2583
TX
Other
Enumeration date
08/02/2005
Last updated
09/18/2008
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