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Individual

ELIA NILA ESCANAME

Active
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Individual

ELIA NILA ESCANAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q1596
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
Q1596
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372652301
TX
01
372652302
CSHCN
TX
Enumeration date
03/21/2011
Last updated
07/21/2022
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