Healthcare Provider Details

I. General information

NPI: 1538782024
Provider Name (Legal Business Name): HECTOR EUSEBIO ELIZONDO ADAMCHIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3900
US

IV. Provider business mailing address

3500 GASTON AVE FL Y-WING3
DALLAS TX
75246-2088
US

V. Phone/Fax

Practice location:
  • Phone: 210-567-5711
  • Fax:
Mailing address:
  • Phone: 214-820-2362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: