Individual
ELISE GONUL KACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 MEDICAL PKWY STE 220, LAKEWAY, TX 78738-5649
(512) 814-1984
(855) 270-9668
Mailing address
5625 EIGER RD STE 200, AUSTIN, TX 78735-8982
(512) 892-7076
(855) 270-9668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
08/22/2022
Last updated
09/27/2024
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