Provider Demographics
NPI:1962491159
Name:CARROLL, ELISA F (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISA
Middle Name:F
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1355 CENTRAL PKWY S STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5057
Mailing Address - Country:US
Mailing Address - Phone:210-349-9300
Mailing Address - Fax:210-366-2558
Practice Address - Street 1:1303 MCCULLOUGH AVE
Practice Address - Street 2:SUITE GL70
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5609
Practice Address - Country:US
Practice Address - Phone:210-226-9705
Practice Address - Fax:210-223-4555
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2019-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK7151207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology