Individual
ELIZABETH A JEKOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H8155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R68R
BCBS
TX
01
—
080064149
RAILROAD
TX
05
—
084868101
—
TX
05
—
132322204
—
TX
05
—
132322207
—
TX
01
—
82X790
BCBS
TX
Enumeration date
01/09/2006
Last updated
04/23/2008
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