Individual
MR. ELVIN EDWARD MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 VETERAN'S BLVD, BIG SPRING, TX 79720
(432) 263-7361
Mailing address
P.O.BOX 1739, CANYON LAKE, TX 78133-0005
(210) 286-6577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01867
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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