Individual
DR. ELENA GUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
519 N MAIN ST, CLEBURNE, TX 76033-3845
(817) 645-5915
(817) 645-5935
Mailing address
PO BOX 770, CLEBURNE, TX 76033-0770
(817) 645-5915
(817) 645-5935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002-0425
NM
207R00000X
Internal Medicine Physician
Primary
L7404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158386603
—
TX
01
—
45D1056377
CLIA WAIVER NUMBER
TX
01
—
J0130220
TEXAS DPS NUMBER
TX
Enumeration date
09/02/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us