MEDICARE: DR. DORA ELISA CAWLEY M.D.

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
1	208000000X	Pediatrics Physician	G5083	TX

General Provider Information

NPI Number	:	1902102817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORA ELISA CAWLEY M.D.

Provider Business Mailing Address
First Line	:	820 MONTGOMERY RD
Second Line	:	203
City	:	GRAHAM
State	:	TX
Zip	:	76450-4200
Country	:	US
Telephone Number	:	940-549-8505
Fax Number	:	940-549-8820

Provider Business Practice Location Address
First Line	:	820 MONTGOMERY RD
Second Line	:	203
City	:	GRAHAM
State	:	TX
Zip	:	76450-4200
Country	:	US
Telephone Number	:	940-549-8505
Fax Number	:	940-549-8820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2011
Last Update Date	:	02/10/2011

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