Provider Demographics
NPI:1568692333
Name:DILG, ELIZABETH H (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:DILG
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 1:2021 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2219
Mailing Address - Country:US
Mailing Address - Phone:469-800-1050
Mailing Address - Fax:469-800-1060
Practice Address - Street 1:2021 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 520
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2219
Practice Address - Country:US
Practice Address - Phone:469-800-1050
Practice Address - Fax:469-800-1060
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5966207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX328458002OtherMEDICAID OTHER COUNTY
TX324981YL7AOtherMEDICARE - OTHER COUNTY
TX328458001Medicaid
TX324981YL7BMedicare PIN