Organization
ELIORA LLC
Active
Organization
ELIORA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURETTA U OGBUE MD (OWNER)
(817) 807-1714
Entity
Organization
Contact information
Practice address
305 TRAIL DUST DR, SOUTHLAKE, TX 76092-5733
(817) 807-1714
(917) 898-1391
Mailing address
2600 E SOUTHLAKE BLVD STE 120-342, SOUTHLAKE, TX 76092-6634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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