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Eloisa Catherine Crouse, MD
General Practice Physician in Jbsa Lackland, Texas
NPI 1306421672

Eloisa Catherine Crouse is a General Practice Physician based in San Antonio, TX. Eloisa Catherine Crouse practices in Jbsa Lackland, TX and has the professional credentials of MD. The NPI Number for Eloisa Catherine Crouse is 1306421672 and holds a License No. (Texas).

The current practice location address for Eloisa Catherine Crouse is 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX and can be reached out via phone at 850-292-0328.

Location: 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306421672
Provider Name
Eloisa Catherine Crouse
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX, 78236-5638
Phone Number
850-292-0328
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 455459
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
850-292-0328
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 455459
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
850-292-0328
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101276968 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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