Provider Demographics
NPI:1922734417
Name:BILSBOROUGH, ELIZABETH MARIE
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:BILSBOROUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 7.044
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77939-6308
Mailing Address - Country:US
Mailing Address - Phone:713-500-8935
Mailing Address - Fax:
Practice Address - Street 1:1941 EAST RD # 4358
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-6010
Practice Address - Country:US
Practice Address - Phone:713-486-0500
Practice Address - Fax:713-383-1435
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner