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NPI Code Detail

MEDICARE: ELIZABETH CLAIRE ASH

MEDICARE: ELIZABETH CLAIRE ASH
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
1106S00000XBehavior TechnicianRBT-20-114971TX

General Provider Information

NPI Number : 1821674821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CLAIRE ASH
Provider Business Mailing Address
First Line : 7000 DEER RIDGE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4703
Country : US
Telephone Number : 817-583-0777
Fax Number :
Provider Business Practice Location Address
First Line : 2790 KELLER HICKS RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9610
Country : US
Telephone Number : 855-694-0222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2021
Last Update Date : 03/20/2021

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