Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | P1984 | TX |
NPI | 1013112127 |
---|---|
Provider Name | Dr. Elizabeth Coss |
First Address | San Antonio, TX 78229-3931 |
Second Address | San Antonio, TX 78229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
347755602 | (05) | TX |
347755603 | CSHCN (01) | TX |
377248YK00 | (02) | TX |
8EU172 | BCBSTX (01) | TX |