Provider Demographics
NPI:1215297403
Name:CARROLL, ELIZABETH ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALEXANDRA
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 N STEMMONS FWY STE 200S
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3821
Mailing Address - Country:US
Mailing Address - Phone:214-424-5600
Mailing Address - Fax:972-448-6513
Practice Address - Street 1:8585 N STEMMONS FWY STE 200S
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3821
Practice Address - Country:US
Practice Address - Phone:214-424-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6162207R00000X, 207RH0002X
ALMD35262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine