Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | DR.0058224 | CO |
Y | 207RA0201X | Internist - Allergy & Immunology | R9929 | TX |
NPI | 1538435532 |
---|---|
Provider Name | Dr. Elisabeth Anne Clayton |
First Address | Austin, TX 78723-1144 |
Second Address | Austin, TX 78731-3295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400280001 | (05) | TX |
400280002 | (05) | TX |