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ELIZABETH R ELINE DPM PA NPI 1750415576


NPI Information

NPI: 1750415576
Provider Name: ELIZABETH R ELINE DPM PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1064 E IRELAND ST
SEGUIN, TX
ZIP 78155
Phone: (830) 372-3668
Get Directions

ELIZABETH R ELINE DPM PA is a foot and ankle surgery podiatrist in Seguin, TX. ELIZABETH R ELINE DPM PA NPI is 1750415576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1064 E IRELAND ST
SEGUIN, TX
ZIP 78155-849
Phone: (830) 372-3668
Fax: (830) 379-1604

The provider's authorized official is Elizabeth R Eline .
The authorized official title is Owner and has the following contact phone number (830) 372-3668.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/23/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery1237TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U08117MEDICARE UPINTEXAS
20849044-01MEDICAIDTEXAS
3480018841OTHERTEXASRAILROAD MEDICARE
480X040OTHERTEXASBLUE CROSS BLUE SHIELD
500R79RMEDICARE ID-TYPE UNSPECIFIED

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

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