Provider Demographics
NPI:1376601328
Name:MCELROY, SANDRA N (MD)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:N
Last Name:MCELROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 WEST MAIN STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3769
Mailing Address - Country:US
Mailing Address - Phone:281-332-4673
Mailing Address - Fax:281-332-5487
Practice Address - Street 1:620 WEST MAIN STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3769
Practice Address - Country:US
Practice Address - Phone:281-332-4673
Practice Address - Fax:281-332-5487
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH13932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J26BMedicare UPIN
TXE07315Medicare UPIN