MEDICARE: ELISA BASORA ROVIRA MD PLLC

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	2080P0214X	Pediatric Pulmonology Physician

General Provider Information

NPI Number	:	1902759343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELISA BASORA ROVIRA MD PLLC

Provider Business Mailing Address
First Line	:	2817 S MAYHILL RD STE 115
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-5967
Country	:	US
Telephone Number	:	972-982-7411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 S MAYHILL RD STE 115
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-5967
Country	:	US
Telephone Number	:	972-982-7411
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELISA BASORA ROVIRA
Credential	:	MD
Telephone Number	:	972-982-7411

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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