Provider Demographics
NPI:1104289198
Name:GARLINGTON, ELISABETH (DC)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:GARLINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-0125
Mailing Address - Country:US
Mailing Address - Phone:469-992-2273
Mailing Address - Fax:
Practice Address - Street 1:695 MAIN ST
Practice Address - Street 2:SUITE 200 A
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166-1537
Practice Address - Country:US
Practice Address - Phone:469-992-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor