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Individual

ELVIS G JACOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
310 S MESA HILLS DR STE B, EL PASO, TX 79912-5881
(915) 351-7546
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 759-8932
(512) 233-2711

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05061
TX
363A00000X
Physician Assistant
PA2018-0024
NM

Other

Enumeration date
01/12/2007
Last updated
02/15/2023
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