Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 226942 | TX |
NPI | 1053311258 |
---|---|
Provider Name | Barbara S. Mcelwee |
First Address | Dallas, TX 75266-0599 |
Second Address | Dallas, TX 75235-7708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 06/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060557801 | (05) | TX |
060557802 | (05) | TX |
060557803 | (05) | TX |
060557804 | (05) | TX |
060557805 | (05) | TX |
060557806 | (05) | TX |
060557807 | (05) | TX |
060557808 | (05) | TX |
060557809 | (05) | TX |
060557810 | (05) | TX |
060557811 | (05) | TX |
060557812 | (05) | TX |
060557813 | (05) | TX |
060557814 | (05) | TX |
060557815 | (05) | TX |
8N4770 | BLUE CROSS BLUE SHIELD (01) | TX |
S81289 | (02) | TX |