Provider Demographics
NPI:1235131012
Name:HARPER, ELISE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISE
Middle Name:MICHELLE
Last Name:HARPER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:555 REPUBLIC DR
Mailing Address - Street 2:SUITE # 460
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:972-644-2819
Mailing Address - Fax:972-680-2949
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:SUITE # 205
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0500
Practice Address - Country:US
Practice Address - Phone:972-377-6553
Practice Address - Fax:972-377-6453
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2023-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK7551207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045769901Medicaid
TX045769901Medicaid
TXG93057Medicare UPIN