Individual
DAVID GEOFFREY ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY STE 200, STE 1400, 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
L0151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036879701
—
TX
05
—
036879702
—
TX
05
—
036879703
—
TX
01
—
036879704
MEDICAID CSHCN
TX
01
—
036879705
MEDICAID CSHCN
TX
01
—
036879706
MEDICAID CSHCN
TX
01
—
8A1739
BCBS
TX
Enumeration date
12/19/2005
Last updated
06/07/2018
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