Search › Texas › 122300000X
Mark Elia, DDS
NPI 1205535366 · on the registry since 2023
Practice
- Address
- 2133 Klinker Street
Building 3352
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6258
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- TX, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas