Individual
ELIZABETH MARIE FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082-3552
(469) 913-9400
(469) 913-9420
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082-3552
(469) 913-9400
(469) 913-9420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17962
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
05/19/2026
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