Provider Demographics
NPI:1295962330
Name:BAILEY, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5510 W GRAND PKWY S STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5879
Mailing Address - Country:US
Mailing Address - Phone:281-232-1640
Mailing Address - Fax:281-232-1639
Practice Address - Street 1:5510 W GRAND PKWY S STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5879
Practice Address - Country:US
Practice Address - Phone:281-232-1640
Practice Address - Fax:281-232-1639
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP6135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP1-0033834OtherPHYSICIAN IN TRAINING PERMIT
TXP6135OtherTEXAS MEDICAL LICENSE