ELISSA PRADO GONZALEZ

AUSTIN, TX
NPI1295197879
Former NameELISSA CRISTINA PRADO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: TX  S2785)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-23
Last Update Date2020-08-05
Business Address
ELISSA PRADO GONZALEZ
12005 FM 2244 RD
AUSTIN, TX 78738-6385
Phone number: 512-225-0766
Mailing Address
ELISSA PRADO GONZALEZ
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207-3108
Phone number: 210-704-3910