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Individual

MRS. CONSUELO MOLINA ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, WHNP-BC

Contact information

Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
657547
TX

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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