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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 ID1639289630
PAC ID by PECOS7719928738
Professional Enrollment IDI20050519000303
NameELLEN MARIE SHROUF
Medical School NameOTHER
Graduation Year1997
Primary Specialty
All secondary specialties
Organization NameVERICARE PC
Group Practice PAC ID1850204983
Number of Group Practice members32
Address5423 HAMILTON WOLFE RD, , SAN ANTONIO, TX, 782294344
Hospital affiliation LBN
Graduation Year1997
Contact Number8002578715
Email Address[Show_Email_ID]

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