Individual
ANNETTE M ELBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 9TH AVENUE, FORT WORTH, TX 76104-3906
(817) 336-7173
(817) 335-9251
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 335-9251
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K4049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054385
RAILROAD MEDICARE
—
05
—
030783703
—
TX
Enumeration date
07/27/2006
Last updated
08/29/2013
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