Provider Demographics
NPI:1871644252
Name:BOCARD, ELVIDA
Entity Type:Individual
Prefix:
First Name:ELVIDA
Middle Name:
Last Name:BOCARD
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 1:12710 FAWNWAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-4150
Mailing Address - Country:US
Mailing Address - Phone:713-991-7474
Mailing Address - Fax:
Practice Address - Street 1:12710 FAWNWAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-4150
Practice Address - Country:US
Practice Address - Phone:713-991-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health