Provider Demographics
NPI:1073576583
Name:TICHY, ELIZABETH HUGHES (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HUGHES
Last Name:TICHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6712 N NEW BRAUNFELS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3830
Mailing Address - Country:US
Mailing Address - Phone:210-617-5585
Mailing Address - Fax:210-617-5594
Practice Address - Street 1:6712 N NEW BRAUNFELS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3830
Practice Address - Country:US
Practice Address - Phone:210-617-5585
Practice Address - Fax:210-617-5594
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1381207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology