Individual
ELIZABETH GORRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 427-9400
(512) 342-2723
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338539501
—
TX
01
—
P01879991
RAILROAD
TX
Enumeration date
06/27/2014
Last updated
09/28/2017
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