Individual
ELIZABETH WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
1308 S WACO ST, VAN ALSTYNE, TX 75495-2641
(214) 264-6700
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
198355
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/12/2021
Last updated
09/16/2021
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