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NPI Code Detail

MEDICARE: ROBERTO ELIZONDO CRNA

MEDICARE:   ROBERTO  ELIZONDO  CRNA
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
1367500000XCertified Registered Nurse Anesthetist738148TX

General Provider Information

NPI Number : 1356870323
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO ELIZONDO CRNA
Provider Business Mailing Address
First Line : 702 GARZA CIR
Second Line :
City : WESLACO
State : TX
Zip : 78599-2964
Country : US
Telephone Number : 956-536-7733
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PEASE ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8307
Country : US
Telephone Number : 956-389-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 06/10/2026

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Directions to “ ROBERTO ELIZONDO CRNA” Practice Location

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