Individual
J RAEL ELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H4911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J66R
BC/BS OF TEXAS
TX
05
—
1233967-03
—
TX
05
—
123396705
—
TX
05
—
123396707
—
TX
05
—
123396708
—
TX
01
—
8AG246
BCBSTX
TX
01
—
8K9342
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/25/2006
Last updated
04/28/2020
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