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NPI Code Detail

MEDICARE: ELAINE CLEVELAND MD

MEDICARE: ELAINE CLEVELAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0102XSurgical Critical Care PhysicianT3059TX
2208600000XSurgery Physician2017-01581NC
3208600000XSurgery PhysicianT3059TX

General Provider Information

NPI Number : 1063706877
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE CLEVELAND MD
Provider Business Mailing Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-0753
Fax Number : 915-742-3238
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-0753
Fax Number : 915-742-3238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2011
Last Update Date : 03/10/2026

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Directions to “ ELAINE CLEVELAND MD” Practice Location

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