Individual
ELIZABETH JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1502 EAST AIRLINE DRIVE, SUITE NUMBER 40, VICTORIA, TX 77901-4112
(361) 582-7700
Mailing address
113 VILLAGE GREEN, VICTORIA, TX 77904
(361) 582-7700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301083087
MI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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