Individual
ELIZABETH ILOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13433 CYPRESS POINT CT, HORIZON CITY, TX 79928-6496
(915) 218-3640
Mailing address
13433 CYPRESS POINT CT, HORIZON CITY, TX 79928-6496
(915) 218-3640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1031110
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1031110
TX
Other
Enumeration date
03/24/2021
Last updated
04/08/2025
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