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Organization
ELIZABETH A JEKOT MD PA
Active
Organization
ELIZABETH A JEKOT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH A JEKOT MD (OWNER)
(214) 442-7050
Entity
Organization
Contact information
Practice address
3301 E RENNER RD, SUITE 100, RICHARDSON, TX 75082-1801
(972) 442-7050
(214) 442-7075
Mailing address
PO BOX 832265, RICHARDSON, TX 75083-2265
(972) 758-3598
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
M00793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R68R
BCBS
TX
05
—
084868101
—
TX
Enumeration date
09/15/2006
Last updated
11/13/2007
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