Organization
ELIZABETH R ELINE DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH R ELINE D.P.M. (OWNER)
(830) 372-3668
Entity
Organization
Contact information
Practice address
1064 E IRELAND ST, SEGUIN, TX 78155-4849
(830) 372-3668
(830) 379-1604
Mailing address
1064 E IRELAND ST, SEGUIN, TX 78155-4849
(830) 372-3668
(830) 379-1604
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849044-01
—
TX
01
—
480018841
RAILROAD MEDICARE
TX
01
—
80X040
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/15/2007
Last updated
07/23/2008
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