Individual
MRS. ELIZABETH EVERSULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5944 W PARKER RD, #400, PLANO, TX 75093-6421
(972) 309-2021
(972) 309-2023
Mailing address
PO BOX 97, BOYCE, LA 71409-0097
(972) 309-2021
(972) 309-2023
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
L5328
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
L5328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176702201
—
TX
Enumeration date
03/22/2006
Last updated
10/23/2008
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