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NPI Code Detail

MEDICARE: ELIZABETH LYNN BARRETT PA-C

MEDICARE: ELIZABETH LYNN BARRETT PA-C
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
1363AS0400XSurgical Physician AssistantPA14469TX

General Provider Information

NPI Number : 1568973782
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LYNN BARRETT PA-C
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 425 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1360
Country : US
Telephone Number : 512-509-0200
Fax Number : 512-509-0285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2017
Last Update Date : 05/21/2026

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