Provider Demographics
NPI:1104050780
Name:JARAMILLO, ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:6.608 REBECCA SEALY HOSPITAL
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0177
Mailing Address - Country:US
Mailing Address - Phone:409-772-1987
Mailing Address - Fax:409-747-3585
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:6.608 REBECCA SEALY HOSPITAL
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0177
Practice Address - Country:US
Practice Address - Phone:409-772-1987
Practice Address - Fax:409-747-3585
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2020-06-04
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Provider Licenses
StateLicense IDTaxonomies
TXP3175207R00000X
TXBP1-0034945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP1-0034945OtherSTATE OF TEXAS PERMIT IN TRAINING