Individual
ELIZABETH JUAREZ
Active
Individual
ELIZABETH JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6054636-1205
UT
207R00000X
Internal Medicine Physician
Primary
M6686
TX
208M00000X
Hospitalist Physician
M6686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00171W
GROUP MEDICARE
TX
01
—
0069KV
GROUP BCBS OF TX
TX
05
—
190854303
—
TX
01
—
8AK888
BCBS OF TX
—
Enumeration date
07/16/2007
Last updated
11/12/2024
Update your record
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