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ELLEN MARIE SHROUF
5423 HAMILTON WOLFE RD SAN ANTONIO TX 782294344
ELLEN MARIE SHROUF is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1639289630. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7719928738. The primary specialty is . The organization is VERICARE PC. The address is 5423 HAMILTON WOLFE RD, , SAN ANTONIO, TX, 782294344. The zip code is 782294344.
|Nation Provider ID||1639289630|
|PAC ID by PECOS||7719928738|
|Professional Enrollment ID||I20050519000303|
|Name||ELLEN MARIE SHROUF|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||VERICARE PC|
|Group Practice PAC ID||1850204983|
|Number of Group Practice members||32|
|Address||5423 HAMILTON WOLFE RD, , SAN ANTONIO, TX, 782294344|
|Hospital affiliation LBN|