Individual
ELSA N BELLO REUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 9410, LUBBOCK, TX 79430-9410
(806) 743-3155
Mailing address
3601 4TH ST STOP 9410, LUBBOCK, TX 79430-9410
(806) 743-3155
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H5525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129849904
—
TX
Enumeration date
12/07/2006
Last updated
05/09/2012
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