Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 18286 | NV |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | M0711 | TX |
NPI | 1013067982 |
---|---|
Provider Name | Dr. Tina P. Elkins |
First Address | Athens, TX 75751-5739 |
Second Address | Athens, TX 75751-5739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 14/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31836 | (02) | TX |