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Individual

DR. DANIEL ELIAS ELIZONDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-0000
Mailing address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022034435
MO
208M00000X
Hospitalist Physician
Primary
036161301
IL
208M00000X
Hospitalist Physician
2022034435
MO

Other

Enumeration date
06/20/2019
Last updated
05/31/2025
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