Individual
MR. EDUARDO JAVIER ELIZONDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
10700 MCPHERSON AVE, LAREDO, TX 78045-6268
(956) 523-2000
Mailing address
1627 SWEDEN LN, LAREDO, TX 78045-8386
(956) 753-9034
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00203
TX
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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