Individual
MARYAM ELMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7979 WURZBACH, 6TH FLOOR, ZELLER BLDG, SAN ANTONIO, TX 78229
(210) 450-5990
(210) 450-1747
Mailing address
8431 FREDERICKSBURG ROAD, 1ST FLOOR, SAN ANTONIO, TX 78229
(210) 450-9000
(210) 450-4621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R6389
TX
2086X0206X
Surgical Oncology Physician
Primary
R6389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387011501
—
TX
01
—
387011502
CSHCN
TX
Enumeration date
06/29/2018
Last updated
09/21/2018
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