Organization
ELIUD A FAZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIUD A FAZ MD (PRESIDENT)
(956) 753-6797
Entity
Organization
Contact information
Practice address
4001 MCPHERSON AVE, STE. 104, LAREDO, TX 78041-5281
(956) 753-6797
(956) 753-6547
Mailing address
4001 MCPHERSON AVE, STE. 104, LAREDO, TX 78041-5281
(956) 753-6797
(956) 753-6547
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G0902
TX
Other
Enumeration date
12/05/2006
Last updated
08/27/2007
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