Provider Demographics
NPI:1295977676
Name:BAIRD, ELIZABETH DELACY (PAC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:DELACY
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:DELACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-5058
Mailing Address - Country:US
Mailing Address - Phone:281-479-3240
Mailing Address - Fax:281-479-3275
Practice Address - Street 1:3300 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-5058
Practice Address - Country:US
Practice Address - Phone:281-479-3240
Practice Address - Fax:281-479-3275
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06028363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant