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Teresa M. Elliott,mdpa
Clinic/Center in Dallas, Texas
NPI 1831344381

Teresa M. Elliott,mdpa is a Clinic/Center based in Dallas, TX. Teresa M. Elliott,mdpa practices in Dallas, TX. The NPI Number for Teresa M. Elliott,mdpa is 1831344381 and holds a License No. F5194 (Texas).

The current practice location address for Teresa M. Elliott,mdpa is 12801 Midway Rd, Dallas, TX and can be reached out via phone at 214-361-5070 and via fax at 972-241-5075.

Location: 12801 Midway Rd, Dallas, TX, 75244-6813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831344381
Provider Name
Teresa M. Elliott,mdpa
Credential
Provider Entity Type
Organization
Address
12801 Midway Rd, Dallas, TX, 75244-6813
Phone Number
214-361-5070
Fax Number
972-241-5075
Provider Enumeration Date
11/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00013Z 01 TX MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
12801 Midway Rd
City
Dallas
State
Texas
Zip
75244-6813
Phone Number
214-361-5070
Fax Number
972-241-5075
person
Provider Business Mailing Address Details
Address
12801 Midway Rd
City
Dallas
State
Texas
Zip
75244-6813
Phone Number
214-361-5070
Fax Number
972-241-5075
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
F5194 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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