Elliott, Byron D.

Elliott, Byron D. is an individual health care provider with primary practice located at 420 E 6Th St Ste 202 , Odessa TX 79761-4572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Elliott, Byron D. can be contacted via phone (432) 582-8757.

Contact Information

Primary practice address
420 E 6Th St Ste 202 Odessa TX 79761-4572
Fax: (432) 582-8928
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X H5544 Texas

Profile Details

NPI number 1689608101
LBN Legal business name Elliott, Byron D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689608101 NPPES
Texas MEDICAID 134350108

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