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Individual

MR. ROY MICHAEL ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
327 CORAL SEA RD SUITE 123, INGLESIDE, TX 78362-5025
(361) 776-1166
(361) 776-1103
Mailing address
327 CORAL SEA RD SUITE 123, INGLESIDE, TX 78362-5025
(361) 776-1166
(361) 776-1103

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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