Individual
MS. ELIZABETH VALDIVIA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
104 BABCOCK RD, SAN ANTONIO, TX 78201-2900
(210) 736-2244
(210) 736-0011
Mailing address
300 LABOR ST, APT 4208, SAN ANTONIO, TX 78210-1092
(210) 534-9087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04409
TX
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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