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Individual

EMILY ELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1000 SAINT LOUIS AVE, FORT WORTH, TX 76104-3366
(817) 702-3636
(817) 702-8050
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09226
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341966502
TX
01
8454NN
BCBS
TX
Enumeration date
08/05/2014
Last updated
10/29/2018
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