Individual
ELIJAH BALDWIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6423 LADERA DR, HOUSTON, TX 77083-1418
(832) 272-2663
Mailing address
6423 LADERA DR, HOUSTON, TX 77083-1418
(832) 272-2663
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4080
TX
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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