| Doctor Name: | MR. ELLIOT JOSEPH CRUZ |
| NPI Number: | 1003011263 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 32873 |
| Business Practice Address: | 4242 Medical Dr 7100 San Antonio, TX - 782295640 |
| Business Phone Number: | 2102162739 |
| Business Fax Number: | |
| Mailing Address: | 626 W Mulberry Ave, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782123224 |
| Phone Number: | 2107333035 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 32873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |