Individual
EMMANUEL EDUARDO ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813
(956) 750-6592
Mailing address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813
(956) 750-6592
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
856927
TX
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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