Individual
DR. ELIZABETH ANNE PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9330 POPPY DR, 403, DALLAS, TX 75218-4621
(214) 328-3186
(214) 328-4085
Mailing address
9330 POPPY DR, 403, DALLAS, TX 75218-4621
(214) 328-3186
(214) 328-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H7335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081535901
MEDICAID
TX
01
—
110091135
RR MEDICARE
TX
05
—
117317101
—
TX
05
—
117317103
—
TX
01
—
81G572
BCBS
TX
01
—
P0005463
RR MEDICARE PIN (D.I.S.)
TX
Enumeration date
07/26/2006
Last updated
05/07/2008
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