Elizabeth Gage PA

NPI 1073625497 - Physician Assistant - 363AM0700X

NPI Details
NPI 1073625497
Gender Female
Enumeration Date 08/31/2006
Last Updated 05/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1035 HICKORY CREEK BLVD
HICKORY CREEK TX, 75065-7552, US
Phone (713) 335-1745
Fax
Business Location
2124 MILLWOOD DR
CORINTH TX, 76210-2218, US
Phone (469) 441-6613
Fax (940) 498-0112
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA01853
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According to our database, Elizabeth Gage PA NPI is 1073625497, taxonomy code is 363AM0700X and license number is PA01853, license state is located at Texas. Elizabeth Gage PA physically located at 1035 Hickory Creek Blvd, Hickory Creek TX, 75065-7552. NPI Number Elizabeth Gage PA has the Individual type.

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1073625497 NPI number is provided on an as is basis without warranty of any kind. 1073625497 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Gage PA are for informational purposes only.