Individual
ELIZABETH MARIE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
12221 MERIT DR, STE 1610, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Mailing address
12221 MERIT DR, STE 1610, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280829701
—
TX
05
—
280829703
—
TX
Enumeration date
06/25/2008
Last updated
01/10/2012
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