Individual
ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
313 E 12TH ST, STE 101, AUSTIN, TX 78701-1954
(512) 324-9650
(512) 324-9651
Mailing address
1912 SPEEDWAY, AUSTIN, TX 78712-1235
(512) 324-9650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129189002
—
TX
05
—
129189010
—
TX
Enumeration date
10/18/2006
Last updated
03/24/2017
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