Individual
ELIZABETH GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
701 E DAVIS ST, STE A, CONROE, TX 77301-3099
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, ROUTE 1022, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
621916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107944405
—
TX
Enumeration date
12/08/2006
Last updated
04/05/2010
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