Individual
ELIZABETH L DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Mailing address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
536369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141996203
—
TX
01
—
8Y8646
BLUE CROSS BLUE SHIELD OF TEXAS
—
Enumeration date
06/21/2005
Last updated
04/30/2013
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