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General NPI Number Information
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NPI Number | 1902759343
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Entity Type | Organization
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Legal Business Name | ELISA BASORA ROVIRA MD PLLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2817 S MAYHILL RD STE 115
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City | DENTON
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State | TX
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Zip | 76208-5967
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Country | US
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Telephone | 972-982-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 2817 S MAYHILL RD STE 115
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City | DENTON
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State | TX
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Zip | 76208-5967
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Country | US
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Telephone | 972-982-7411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELISA BASORA ROVIRA
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Credential | MD
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Telephone | 972-982-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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