Individual
DR. ELIZABETH LOUISE MAGNABOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA ST, F1657, SAN ANTONIO, TX 78207-3108
(210) 704-4708
(210) 704-2615
Mailing address
333 N SANTA ROSA ST, F1657, SAN ANTONIO, TX 78207-3108
(210) 704-4708
(210) 704-2615
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
K7723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117085405
—
TX
Enumeration date
03/09/2006
Last updated
02/05/2015
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