Tina T Elackatt, PA-C Valid NPI

Individual provider · Physician Assistant · Sugar Land, TX

NPI

1063835460

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA05158 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2014-01-22

Last updated

2015-08-20