Individual
DR. ANTHONY JOHN ELISCO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401-7856
(903) 408-7930
(903) 408-7929
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5834
(903) 408-5693
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
OS007527L
PA
208800000X
Urology Physician
Primary
Q9805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366443501
—
TX
01
—
539307YMPG
MEDICARE
TX
Enumeration date
07/25/2006
Last updated
04/30/2026
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