Individual
ELIZABETH ANNE SEABERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-3656
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L3815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175419402
—
TX
01
—
8D8501
MEDICARE PTAN
TX
Enumeration date
05/03/2006
Last updated
05/17/2016
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