Provider Demographics
NPI:1609337054
Name:REUBEN J. ELOVITZ, M.D., PLLC
Entity Type:Organization
Organization Name:REUBEN J. ELOVITZ, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-501-5395
Mailing Address - Street 1:6119 BERKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5502
Mailing Address - Country:US
Mailing Address - Phone:214-865-6991
Mailing Address - Fax:214-865-6910
Practice Address - Street 1:6119 BERKSHIRE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5502
Practice Address - Country:US
Practice Address - Phone:214-865-6991
Practice Address - Fax:214-865-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty