Individual
KAREN ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (R)
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
Mailing address
3415 POND CIR, BEAUMONT, TX 77707-3676
(409) 444-8122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
GMR02005400
TX
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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