Individual
ELIZABETH ANN PORTUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9870 GATEWAY N BLVD B1, EL PASO, TX 79924-4414
(915) 751-5571
(915) 751-0951
Mailing address
9870 GATEWAY N BLVD B1, EL PASO, TX 79924-4414
(915) 751-5571
(915) 751-0951
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
563927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176130601
—
TX
01
—
8N8628
BCBS OF TEXAS
TX
Enumeration date
09/08/2006
Last updated
01/29/2018
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