Individual
J RAEL ELK
Active
Individual
J RAEL ELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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