Individual
KATIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3924 N TARRANT PKWY, FORT WORTH, TX 76244-5410
(817) 514-2114
(817) 514-2150
Mailing address
3924 N TARRANT PKWY, FORT WORTH, TX 76244-5410
(817) 514-2114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11078T
TX
Other
Enumeration date
07/08/2024
Last updated
03/19/2025
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