Individual
ELIZMARY CYRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
Mailing address
4210 ARBOR CREEK DR, CARROLLTON, TX 75010-4101
(479) 785-2431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-10662
AR
207Q00000X
Family Medicine Physician
R3495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200535400A
—
OK
Enumeration date
04/02/2014
Last updated
07/21/2022
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