Elliot Joseph Cruz in Fort Sam Houston - Clinical
Elliot Joseph Cruz - NPI 1003011263
Elliot Joseph Cruz is a Clinical in Fort Sam Houston, Texas. Elliot Joseph Cruz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elliot Joseph Cruz is 1003011263. The last update date is 2021-06-14.
Elliot Joseph Cruz's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2105399582. The mailing address for Elliot Joseph Cruz is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliot Joseph Cruz |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2105399582 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003011263 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2021-06-14 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2105399582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 32873 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Elliot Joseph Cruz by the Centers for Medicare & Medicaid Services?
The Elliot Joseph Cruz has been assigned the NPI (National Provider Identifier) 1003011263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Elliot Joseph Cruz's facilities are situated?
The facilities of Elliot Joseph Cruz are physically located at the following address: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 782344504.
What is Elliot Joseph Cruz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elliot Joseph Cruz is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003011263 to Elliot Joseph Cruz?
The Centers for Medicare & Medicaid Services originally issued the 1003011263 to Elliot Joseph Cruz on 2007-06-18.
As of what date were the Elliot Joseph Cruz's details last updated?
The information pertaining to the Elliot Joseph Cruz, including its address, specialty, and other details, was most recently updated on 2021-06-14.
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