Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | Q2404 | TX |
N | 208000000X | Pediatrician | 14475 | NV |
N | 208000000X | Pediatrician | L-232905 | MA |
NPI | 1124223730 |
---|---|
Provider Name | Elizabeth Lewis Thorpe |
First Address | Houston, TX 77030-2358 |
Second Address | Houston, TX 77030-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 05/07/2015 |