Individual
ELIZABETH NIEDRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 JUNIUS ST, DALLAS, TX 75246-1427
(972) 707-7782
Mailing address
2314 S KENNEDY AVE, TYLER, TX 75701-5242
(903) 316-3679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13667
TX
Other
Enumeration date
06/25/2020
Last updated
08/21/2024
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