Eliud a Faz MD PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G0902 Issued in TX

Legal business name

ELIUD A FAZ MD PA

Practice address

4001 McPherson Ave
Ste. 104
Laredo, TX 78041-5281

Phone

(956) 753-6797

Fax

(956) 753-6547

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eliud A Faz, MD

Title

President

Phone

(956) 753-6797

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1932267598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MCPHERSON AVE",
            "address_2": "STE. 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415281",
            "telephone_number": "956-753-6797",
            "fax_number": "956-753-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MCPHERSON AVE",
            "address_2": "STE. 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415281",
            "telephone_number": "956-753-6797",
            "fax_number": "956-753-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIUD A FAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "FAZ",
        "authorized_official_first_name": "ELIUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-753-6797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Paraiso Senior Center, Inc.
• Eli-Leo LLC (Laredo Diagnostic Laboratories)
• Reynaldo Elias Jr., INTERN
• Elite Ambulance Service LLC
• Elite Therapeutic Specialists, LTD.
• Eliud Acevedo MD P.L.L.C.
• Christina Lynn Elizondo, LVN
• Eduardo Javier Elizondo, SA
• Fatima Irasema Elizondo
• Rosa Elia Elizondo, M.S., CCC-SLP

• Child & Adolescent Psychiatry Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.