Individual
ELIZABETH LEE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Mailing address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375684301
—
TX
Enumeration date
01/14/2009
Last updated
11/01/2019
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