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Export Provider Record NPI 1104278860
Carlos R Elizondo Md Pllc
Organization Subpart: NO
Active
NPI Number1104278860
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1104278860
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-07-06
Last Updated2025-11-18
Authorized OfficialCarlos Elizondo
Authorized Official
Phone: 3616640303
Mailing AddressPo Box 850
Alice, TX 78333-0850
United States
Phone: (361) 664-0303 | Fax: (361) 668-1352
📍 View Map
Primary Practice Address230 S Gulf St
Alice, TX 78332-4310
United States
Phone: (361) 664-0303 | Fax: (866) 845-0933
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineTXQ6183
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About NPI 1104278860

Carlos R Elizondo Md Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104278860. The primary specialty listed is Family Medicine. The organization is located in Alice, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-07-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104278860?

NPI 1104278860 belongs to Carlos R Elizondo Md Pllc, a Family Medicine in Alice, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104278860 active?

The current status of NPI 1104278860 in the NPPES registry is Active. The record was last updated on 2025-11-18.

What specialty is NPI 1104278860?

NPI 1104278860 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104278860?

You can verify NPI 1104278860 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104278860?

The primary practice address on file for NPI 1104278860 is 230 S Gulf St, Alice, TX 78332-4310. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104278860 issued?

NPI 1104278860 was first issued (enumerated) on 2016-07-06. The NPPES record was last updated on 2025-11-18.

Practice Location Map

Carlos R Elizondo Md Pllc is located at 230 S Gulf St, Alice, TX. Use the map below to find directions or verify the practice location.

📍 230 S Gulf St, Alice, TX 78332-4310  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Carlos R Elizondo Md Pllc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104278860. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineQ6183TX
Data Verified from CMS NPPES Last synced: 2026-08-10 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162