Provider Demographics
NPI:1275807265
Name:YAROTSKY, ELIZABETH GARLAND (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GARLAND
Last Name:YAROTSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARY
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3705 MEDICAL PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1023
Mailing Address - Country:US
Mailing Address - Phone:512-454-1873
Mailing Address - Fax:512-371-7098
Practice Address - Street 1:4315 JAMES CASEY ST STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3364
Practice Address - Country:US
Practice Address - Phone:512-444-7944
Practice Address - Fax:512-444-7946
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07679363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX875N70OtherBCBS
TX295475201Medicaid
TX875N70OtherBCBS