Individual
EMMA MARGOT ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2718 PLEASANTON RD, SAN ANTONIO, TX 78221
(210) 923-3942
(210) 923-3983
Mailing address
2718 PLEASANTON RD, SAN ANTONIO, TX 78221
(210) 923-3942
(210) 923-3983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E8453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032991401
—
TX
Enumeration date
07/12/2006
Last updated
07/08/2007
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