Physician Compare National (NPI:1386679587)

HEALTHCARE PROVIDER: EMMA MARGOT ELIZONDO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386679587
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800056110
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120323000389
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELIZONDO
	Individual professional last name
Provider First Name	EMMA
	Individual professional first name
Provider Middle Name	MARGOT
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2718 PLEASANTON RD
	Group Practice or individual's line 1 address
City	SAN ANTONIO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782211803
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2109233942
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M