Individual
ELIZABETH TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1009 CHESTNUT ST, BASTROP, TX 78602-3303
(512) 710-9662
(915) 232-9611
Mailing address
1009 CHESTNUT ST, BASTROP, TX 78602-3303
(512) 710-9662
(915) 232-9611
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99330
TX
374J00000X
Doula
—
—
Other
Enumeration date
05/15/2018
Last updated
01/26/2026
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