Provider Demographics
NPI:1497152318
Name:HUGHES, ELIZABETH ROSAMOND (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSAMOND
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:AUGUSTA
Other - Last Name:ROSAMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2900 N INTERSTATE 35 STE 200
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5144
Mailing Address - Country:US
Mailing Address - Phone:940-323-3400
Mailing Address - Fax:940-323-3410
Practice Address - Street 1:2900 N INTERSTATE 35 STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5144
Practice Address - Country:US
Practice Address - Phone:940-323-3400
Practice Address - Fax:940-323-3410
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X, 363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical