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
Phone: (817) 645-5915
Fax: (817) 645-5935
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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