Provider Demographics
NPI:1881682045
Name:POSTON, ELIZABETH HIGH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HIGH
Last Name:POSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:W
Other - Last Name:HIGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-0517
Mailing Address - Country:US
Mailing Address - Phone:817-300-6447
Mailing Address - Fax:817-598-0884
Practice Address - Street 1:102 JOSHUA RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-6036
Practice Address - Country:US
Practice Address - Phone:817-300-6447
Practice Address - Fax:817-598-0884
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2010-05-20
Deactivation Date:2010-05-11
Deactivation Code:
Reactivation Date:2010-05-20
Provider Licenses
StateLicense IDTaxonomies
TX228999363LA2200X, 363LG0600X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0425712-02Medicaid
TX0425712-02Medicaid
TXNP0283Medicare PIN
TXS92051Medicare UPIN
TXNP0445Medicare PIN