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Individual

DR. ELIAS M. NTSOANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3780 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2629
(409) 983-2711
Mailing address
3780 MEMORIAL BLVD., PORT ARTHUR, TX 77640
(409) 983-2711

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N4629
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP0101
MEDICARE RAILROAD
TX
Enumeration date
01/08/2008
Last updated
06/16/2010
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