Organization
ELIZABETH A JEKOT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH A JEKOT MD (MEDICAL DIRECTOR/OWNER)
(214) 442-7050
Entity
Organization
Contact information
Practice address
3301 E RENNER RD, STE. 100, RICHARDSON, TX 75082-1801
(214) 442-7050
(214) 442-7075
Mailing address
PO BOX 832265, RICHARDSON, TX 75083-2265
(214) 442-7050
(214) 442-7075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H8155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R68R
BCBS
TX
05
—
084868102
—
TX
05
—
189967602
—
TX
Enumeration date
01/26/2007
Last updated
03/19/2009
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