Provider Demographics
NPI:1467741066
Name:RANSOM, ELISABETH ASHLEY
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:ASHLEY
Last Name:RANSOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:
Other - Last Name:RANSOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNIM
Mailing Address - Street 1:3400 WATERVIEW PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1472
Mailing Address - Country:US
Mailing Address - Phone:214-295-6703
Mailing Address - Fax:214-245-5267
Practice Address - Street 1:3400 WATERVIEW PKWY STE 305
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1472
Practice Address - Country:US
Practice Address - Phone:214-295-6703
Practice Address - Fax:214-245-5267
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2186246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic