Individual
ELIZABETH ANNE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3921 STECK AVE, STE A110, AUSTIN, TX 78759-8647
(512) 522-7520
(512) 298-0795
Mailing address
8401 SHOAL CREEK BLVD # 200, AUSTIN, TX 78757-7526
(512) 522-7520
(512) 298-0795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2005-01682
NC
207Q00000X
Family Medicine Physician
Primary
P1412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005-01682
MEDICAL LICENSE
NC
05
—
5904722
—
NC
Enumeration date
06/07/2006
Last updated
04/04/2022
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