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NPI Code Detail

MEDICARE: DR. ELISE HULL REX M.D.

MEDICARE: DR. ELISE HULL REX M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianBP10055816TX
2207V00000XObstetrics & Gynecology PhysicianS5660TX

General Provider Information

NPI Number : 1366806671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELISE HULL REX M.D.
Provider Business Mailing Address
First Line : 6100 HARRIS PKWY STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4130
Country : US
Telephone Number : 817-776-4722
Fax Number :
Provider Business Practice Location Address
First Line : 6100 HARRIS PKWY STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4130
Country : US
Telephone Number : 817-776-4722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 08/18/2020

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Directions to “ DR. ELISE HULL REX M.D.” Practice Location

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