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NPI Code Detail

MEDICARE: DR. ELIZA CORINA CONTRERAS MD

MEDICARE: DR. ELIZA CORINA CONTRERAS 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianT0454TX

General Provider Information

NPI Number : 1851888663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZA CORINA CONTRERAS MD
Provider Business Mailing Address
First Line : 2460 N I 35 STE 100
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-5267
Country : US
Telephone Number : 469-800-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2460 N I 35 STE 100
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-5267
Country : US
Telephone Number : 469-800-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 02/05/2024

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Directions to “ DR. ELIZA CORINA CONTRERAS MD” Practice Location

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