Individual
ELIZABETH BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 DENALI PASS STE 604, CEDAR PARK, TX 78613-7766
(512) 906-0168
(512) 259-2290
Mailing address
507 DENALI PASS STE 604, CEDAR PARK, TX 78613-7766
(512) 259-2222
(512) 259-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
082123
GA
207Q00000X
Family Medicine Physician
35.135509
OH
207Q00000X
Family Medicine Physician
58564
TN
207Q00000X
Family Medicine Physician
C1-0013036
DE
207Q00000X
Family Medicine Physician
Primary
K2315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200928401
—
TX
Enumeration date
09/02/2005
Last updated
09/03/2019
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