ELIZABETH GAGE


Address: 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552
Phone: 7133351745

ELIZABETH GAGE (NPI# 1073625497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073625497
Entity Type Individual
Full Name ELIZABETH GAGE
Other Name LIZ GAGE
Credential PA
Practice Address 1035 Hickory Creek Blvd
Hickory Creek
TX 75065-7552
Mailing Address 2124 Millwood Dr
Corinth
TX 76210-2218
Practice Telephone 7133351745
Mailing Telephone 4694416613
Mailing Fax Number 9404980112
Enumeration Date 2006-08-31
Last Update Date 2008-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA01853 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX PA PERMIT PAO1853 01

Other Providers ELIZABETH GAGE

NPI Name Taxonomy Address Enumeration
1972080505 Elizabeth Catherine Gage Nurse Practitioner 3308 Tulane Ave, New Orleans, LA 70119-7100 2018-07-26
1174804967 Elizabeth Ann Gage Speech-Language Pathologist 1127 Queensborough Blvd Ste 104, Mt Pleasant, SC 29464-5431 2011-09-07

Office Location

Street Address 1035 HICKORY CREEK BLVD
City HICKORY CREEK
State TX
Zip Code 75065-7552

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NPI Name Taxonomy Address Enumeration
1114944253 Wal-mart Stores Texas LLC Durable Medical Equipment & Medical Supplies 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2006-07-16
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1689167488 Chau Thoai Ong Pharmacist 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2018-06-07
1609317411 Smileeasy Dental Hickory Creek, Pllc Dentist 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2017-03-13
1518246057 Diane Ta Optometrist 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2011-08-16
1104135672 Hickory Creek Eye Care Optometrist 1035 Hickory Creek Blvd, Ste. A, Hickory Creek, TX 75065-7552 2010-10-01
1104093673 Rediclinic Us, LLC Clinic/Center 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2008-05-13
1023177219 Olivia Thuy Le Optometrist 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 2006-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538650924 Nalani M Newton Physical Therapy Assistant 300 E Swisher Rd Apt 3101, Lake Dallas, TX 75065 2018-05-22
1174801880 Christin Danielle Vaello Dentist 2020 Fm 2181, Hickory Creek, TX 75065 2011-07-29
1912934167 Thuan N Pham Dentist 4550 Swisher Road, Hickory Creek, TX 75065 2006-06-26
1346718111 Stephanie Mouser Counselor 211 Main Street, #150, Lake Dallas, TX 75065 2018-11-09
1104100361 America Dental Dentist 4550 Swisher Road, Hickory Creek, TX 75065 2011-10-06
1447817465 One Reach LLC Counselor 211 Saratoga Dr, Lake Dallas, TX 75065-0320 2019-05-24
1710184296 Family Chiropractic & Wellness Center Chiropractor Po Box 760, Lake Dallas, TX 75065-0760 2007-06-28
1184984403 K2 Home Healthcare, Inc. Home Health 318 Sweet Leaf Ln, Lake Dallas, TX 75065-2275 2012-05-21
1598042657 Jerome P. Kralka I Hearing Instrument Specialist 514 Meadowbrook St, Lake Dallas, TX 75065-2312 2011-11-03
1518354000 Sloane Garrett Developmental Therapist 506 Ridgewood St, Lake Dallas, TX 75065-2320 2015-04-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437181237 Richard Lee Easton Physician Assistant 201 Hilltop Ln, Hickory Creek, TX 75065-7558 2006-07-06
1235565862 Tony George Physician Assistant 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 2013-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City HICKORY CREEK
Zip Code 75065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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