Individual
DR. ROY J ELIZONDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8257 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3357
(210) 616-0715
Mailing address
8257 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3357
(210) 616-0715
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099441001
—
TX
Enumeration date
07/13/2006
Last updated
04/02/2012
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