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Individual

ELIZABETH JUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5501 S EXPRESSWAY 77, HARLINGEN, TX 78550-3213
(956) 365-1023
(956) 365-1823
Mailing address
512 VICTORIA LN STE 12, HARLINGEN, TX 78550-3228
(956) 440-6300
(888) 698-3908

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
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