Eutiquio M Elizondo in Edinburg - Dentist
Eutiquio M Elizondo - NPI 1396825949
Eutiquio M Elizondo is a Dentist in Edinburg, Texas. Eutiquio M Elizondo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eutiquio M Elizondo is 1396825949. The last update date is 2011-04-05.
Eutiquio M Elizondo's current location address is 100 E Ebony Lane, Edinburg, Texas. You can contact this provider via phone number 9563803636 and fax number 9563163866. The mailing address for Eutiquio M Elizondo is 100 E Ebony Lane, Edinburg, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eutiquio M Elizondo |
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Address | 100 E Ebony Lane, Edinburg, Texas |
Phone Number | 9563803636 |
Fax Number | 9563163866 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1396825949 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
Address | 100 E Ebony Lane |
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City | Edinburg |
State | Texas (TX) |
Post Code | 78539 |
Phone Number | 9563803636 |
Fax Number | 9563163866 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 742912615 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
111245001 | TX | -- | |
B14495 | TEXAS CHIP |
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What is the Eutiquio M Elizondo's unique identification number?
The Eutiquio M Elizondo has been assigned the NPI (National Provider Identifier) Number 1396825949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Eutiquio M Elizondo?
The Eutiquio M Elizondo is physically situated at 100 E Ebony Lane, in the city of Edinburg, state of TX, with the postal code 78539.
What is Eutiquio M Elizondo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eutiquio M Elizondo's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Eutiquio M Elizondo receive its 1396825949 assignment from the Centers for Medicare & Medicaid Services?
The Eutiquio M Elizondo was assigned its 1396825949 by the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the Eutiquio M Elizondo's information last updated?
The Eutiquio M Elizondo's information was last updated on 2011-04-05.