Provider Demographics
NPI:1467483784
Name:KROBOTH, ELIZABETH ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:KROBOTH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 ENTERPRISE AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3082
Mailing Address - Country:US
Mailing Address - Phone:281-535-3800
Mailing Address - Fax:281-535-3805
Practice Address - Street 1:201 ENTERPRISE AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3082
Practice Address - Country:US
Practice Address - Phone:281-535-3800
Practice Address - Fax:281-535-3805
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1227213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4379044OtherAETNA
TX1647919-01Medicaid
TX8AW455OtherBC/BS
TX824707OtherFIRST HEALTH
TX861068138OtherTAX ID NUMBER
TX824707OtherFIRST HEALTH
TX8AW455OtherBC/BS
TX8B8076Medicare ID - Type Unspecified