Individual
ELIZABETH AMANDA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200620
LA
363A00000X
Physician Assistant
Primary
PA09843
TX
Other
Enumeration date
06/13/2013
Last updated
05/05/2020
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