Individual
ELIZABETH COVARRUBIAS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2755 MILLER AVE, FORT WORTH, TX 76105-4164
(817) 534-7110
(817) 413-0521
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP116888
TX
363LP0200X
Pediatric Nurse Practitioner
707287
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP116888
TX
Other
Enumeration date
10/17/2008
Last updated
07/15/2025
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