Provider Demographics
NPI:1023238409
Name:PASCUA-LIM, ELVIRA G (MD)
Entity type:Individual
Prefix:DR
First Name:ELVIRA
Middle Name:G
Last Name:PASCUA-LIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3223 S LOOP 289
Mailing Address - Street 2:SUITE 240C
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1337
Mailing Address - Country:US
Mailing Address - Phone:806-785-9080
Mailing Address - Fax:806-794-9299
Practice Address - Street 1:3223 S LOOP 289
Practice Address - Street 2:SUITE 240C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1337
Practice Address - Country:US
Practice Address - Phone:806-785-9080
Practice Address - Fax:806-794-9299
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2016-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH50232084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD95819Medicare UPIN