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Contact Information

RICHARD ELLEDGE, MD
7979 WURZBACH RD
SAN ANTONIO, TX78229-4427
 Phone: 210-450-1000
 Fax: 210-450-1000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RICHARD ELLEDGE · (Male)

NPI # 1982784229
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 10/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # F9395
  • TX Medicaid 124698505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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