Elliemadeaustin
Contractor · Paige, TX
Practice location
1036 Stockade Ranch RdPaige, TX 78659-4446
- Phone
- (512) 629-7416
NPI record
- NPI
- 1447652243
- Entity type
- Organization (Type 2)
- Enumeration date
- September 23, 2014
- Last updated
- September 23, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
D8764589 | CA |
Authorized official
- Name
- Elizabeth Tisdale
- Title
- Owner
- Phone
- (512) 629-7416
Other names
- none
About Elliemadeaustin
Elliemadeaustin is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1036 Stockade Ranch Rd, Paige, TX 78659-4446. The NPI number 1447652243 was assigned on September 23, 2014 and the record was last updated on September 23, 2014.
Elliemadeaustin lists a license in the registry: #D8764589 (CA) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Elizabeth Tisdale, Owner.
Frequently asked questions
What is the NPI number of Elliemadeaustin?
The NPI number is 1447652243.
What is the phone number of Elliemadeaustin?
The phone number listed for the practice location is (512) 629-7416.
Where is Elliemadeaustin located?
1036 Stockade Ranch Rd, Paige, TX 78659-4446.
What is the taxonomy code for Elliemadeaustin?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.