Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 46187 | TX |
N | 207R00000X | Internist | 24721 | AL |
N | 111NI0900X | Internist | 24721 | AL |
NPI | 1245267616 |
---|---|
Provider Name | Elizabeth A Kvale |
First Address | Austin, TX 78728-6300 |
Second Address | Austin, TX 78701-1918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 23/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009901505 | (05) | AL |
009913605 | (05) | AL |
009931585 | (05) | AL |
051510522 | (05) | AL |
051510522 | BLUE CROSS (01) | AL |
051511120 | BLUE CROSS (01) | AL |
051513539 | BLUE CROSS (01) | AL |
051523723 | BLUE CROSS (01) | AL |