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NPI Code Detail

MEDICARE: FRANCES L. ELIZONDO PA

MEDICARE: FRANCES L. ELIZONDO 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
1363AM0700XMedical Physician AssistantPA03808TX
2363A00000XPhysician AssistantPA03808TX

General Provider Information

NPI Number : 1245233550
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES L. ELIZONDO PA
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 11937 US HIGHWAY 271
Second Line :
City : TYLER
State : TX
Zip : 75708-3154
Country : US
Telephone Number : 903-877-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/25/2025

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Directions to “ FRANCES L. ELIZONDO PA” Practice Location

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