Elizabeth Tate Douglass
Infectious Disease
313 E 12th St Ste 102
Austin
, Texas 78701-1955
Elizabeth Tate Douglass
Infectious Disease
313 E 12th St Ste 102
Austin
, Texas 78701-1955
(512) 324-7000
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Elizabeth Tate Douglass
- 1601 Rio Grande St 340
- Austin, TX
- Zip : 78701-1137
- Phone : (512) 324-7000
Second Address
- Elizabeth Tate Douglass
- 313 E 12th St Ste 102
- Austin, TX
- Zip : 78701-1955
- Phone : (409) 772-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | J1975 | TX |
National Provider Identifier
| NPI | 1073675401 |
|---|---|
| Provider Name | Elizabeth Tate Douglass |
| First Address | Austin, TX 78701-1137 |
| Second Address | Austin, TX 78701-1955 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2006 |
| Last Update Date | 14/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129870506 | (05) | TX |
| 129870508 | (05) | TX |
| 86317J | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.