Individual
JEFFREY CARL ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137546111
—
TX
Enumeration date
05/11/2006
Last updated
04/27/2020
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