Gurova, Elena

Gurova, Elena is an individual health care provider with primary practice located at 519 N Main St , Cleburne TX 76033-3845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gurova, Elena can be contacted via phone (817) 645-5915.

Contact Information

Primary practice address
519 N Main St Cleburne TX 76033-3845
Fax: (817) 645-5935
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L7404 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002-0425 New Mexico

Profile Details

NPI number 1023002144
LBN Legal business name Gurova, Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 7th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023002144 NPPES
Texas Other 45D1056377 CLIA WAIVER NUMBER
Texas Other J0130220 CLIA WAIVER NUMBER
Texas MEDICAID 158386603 CLIA WAIVER NUMBER

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