Provider Demographics
NPI:1588804389
Name:TOLBERT, ELIZABETH YVETTE
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:YVETTE
Last Name:TOLBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 STRINGFELLOW ST APT 501
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-1975
Mailing Address - Country:US
Mailing Address - Phone:210-792-4029
Mailing Address - Fax:
Practice Address - Street 1:4700 STRINGFELLOW ST APT 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-1975
Practice Address - Country:US
Practice Address - Phone:210-792-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care