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Individual

ELIZABETH M RACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7777 FOREST LN, SUITE B-122, DALLAS, TX 75230-2571
(972) 383-1060
(972) 383-1061
Mailing address
8390 CHAMPIONS GATE BLVD, SUITE 215, CHAMPIONS GATE, FL 33896-8310
(407) 390-1677
(407) 390-1765

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K7085
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044901901
TX
Enumeration date
04/05/2006
Last updated
07/21/2016
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