Provider Demographics
NPI:1912205832
Name:MARTINEZ-ALAMILLO, ELIZABETH MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:MARTINEZ-ALAMILLO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2525 N VETERANS BLVD
Mailing Address - Street 2:PO BOX 1470
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-3302
Mailing Address - Country:US
Mailing Address - Phone:830-757-6946
Mailing Address - Fax:830-757-5850
Practice Address - Street 1:1175 EIDSON RD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5403
Practice Address - Country:US
Practice Address - Phone:830-757-6946
Practice Address - Fax:830-757-5850
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03280363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical