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MARY ZELIME ELIBOL M.D. NPI 1477758084


NPI Information

NPI: 1477758084
Provider Name: MARY ZELIME ELIBOL, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
1300 W LANCASTER AVE STE 205
FORT WORTH, TX
ZIP 76102
Phone: (817) 336-8611
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Mary Zelime Elibol, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Fort Worth, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Mary Zelime Elibol, M.D. NPI is 1477758084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 W LANCASTER AVE STE 205
FORT WORTH, TX
ZIP 76102-490
Phone: (817) 336-8611
Fax: (817) 390-2981

The NPI 1477758084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 4/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsL-232250MASSACHUSETTSNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology15949NEW HAMPSHIRENo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology252548MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.