Elizondo, Tara Jo
Elizondo, Tara Jo is an individual health care provider with primary practice located at 1522 W Frank Ave , Lufkin TX 75904-3334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Elizondo, Tara Jo can be contacted via phone (936) 639-2384.Contact Information
Primary practice address
1522 W Frank Ave
Lufkin TX 75904-3334
Phone: (936) 639-2384
Fax: (936) 639-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1107727 | Texas |
Profile Details
| NPI number | 1760188502 |
|---|---|
| LBN Legal business name | Elizondo, Tara Jo |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2023 |
| Last updated | Feb 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Paris, Scott
8910 Main St E , Bonney Lake WA 98391-8988 -
Honeycutt, Mary Ann
7293 Dumosa Ave Ste 8 , Yucca Valley CA 92284-3700 -
Mburu, George
2001 S Medford Dr , Lufkin TX 75901-6260 -
Mcginnis, Frances
2001 S Medford Dr , Lufkin TX 75901-6260 -
Tumberg, Roberta L
2001 S Medford Dr , Lufkin TX 75901 -
Pavlick, Sherryl D
575 Coal Valley Rd Ste 407, Clairton PA 15025-3726 -
Lujanac, John M.
107 Church Hill Rd , Sandy Hook CT 06482-1194 -
Van Meter, Sherry
2001 S Medford Dr , Lufkin TX 75901-6260