Organization
ELENA GUROVA, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA GUROVA MD (PRESIDENT AND SECRETALY)
(817) 645-5915
Entity
Organization
Contact information
Practice address
519 N MAIN ST, CLEBURNE, TX 76033-3845
(817) 645-5915
(817) 645-5935
Mailing address
PO BOX 770, CLEBURNE, TX 76033-0770
(817) 645-5915
(817) 645-5935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L7404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183757701
—
TX
Enumeration date
11/01/2006
Last updated
01/12/2015
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