Organization
WIFI MEDICAL DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN JOSEPH ELIZONDO MD (OWNER)
(210) 237-5498
Entity
Organization
Contact information
Practice address
109 GALLERY CIR STE 127, SAN ANTONIO, TX 78258-3328
(210) 267-1197
(210) 802-4926
Mailing address
109 GALLERY CIR STE 127, SAN ANTONIO, TX 78258-3328
(210) 267-1197
(210) 802-4926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J7776
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
J7776
TX
Other
Enumeration date
01/26/2016
Last updated
03/02/2016
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