Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 AKELA WAY, GEORGETOWN, TX 78626-2735
(801) 400-6920
Mailing address
136 AKELA WAY, GEORGETOWN, TX 78626-2735
(801) 400-6920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16327
TX
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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