Individual
ELISA LADAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5751 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109-4152
(817) 332-8848
Mailing address
5751 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109-4152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
01/30/2024
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