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NPI Code Detail

MEDICARE: ELIZABETH G ACQUYAE PA

MEDICARE: ELIZABETH G ACQUYAE PA
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
11223G0001XGeneral Practice Dentistry21763TX

General Provider Information

NPI Number : 1568747699
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELIZABETH G ACQUYAE PA
Provider Business Mailing Address
First Line : 1415 W BUCKINGHAM RD
Second Line :
City : GARLAND
State : TX
Zip : 75042-4202
Country : US
Telephone Number : 972-496-4300
Fax Number : 972-496-4388
Provider Business Practice Location Address
First Line : 1415 W BUCKINGHAM RD
Second Line :
City : GARLAND
State : TX
Zip : 75042-4202
Country : US
Telephone Number : 972-496-4300
Fax Number : 972-496-4388
Authorized Official
Title or Position : DENTIST
Name : MRS. ELIZABETH G ACQUAYE
Credential : D.D.S
Telephone Number : 972-496-4300
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ELIZABETH G ACQUYAE PA ” Practice Location

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