Healthcare Provider Details

I. General information

NPI: 1699217877
Provider Name (Legal Business Name): ELINORE MARIE DOWNING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELINORE MARIE SCHMIDT

II. Dates (important events)

Enumeration Date: 11/05/2016
Last Update Date: 07/07/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11714 WILSON PARKE AVE STE 150
AUSTIN TX
78726-4061
US

IV. Provider business mailing address

6210 E HWY 290
AUSTIN TX
78723-1142
US

V. Phone/Fax

Practice location:
  • Phone: 737-247-7200
  • Fax: 512-406-7368
Mailing address:
  • Phone: 512-483-9596
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA10902
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: