Healthcare Provider Details

I. General information

NPI: 1356329205
Provider Name (Legal Business Name): ELIZABETH GOLLADAY SPOONER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH CAROL GOLLADAY MD

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W MAYFIELD RD STE 302
ARLINGTON TX
76014-2085
US

IV. Provider business mailing address

515 W MAYFIELD RD STE 302
ARLINGTON TX
76014-2085
US

V. Phone/Fax

Practice location:
  • Phone: 817-375-1229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD-52347
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD-25728-0
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberR3595
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: