Provider Demographics
NPI:1215327713
Name:MORROW, ELISA
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 POTOMAC DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2009
Mailing Address - Country:US
Mailing Address - Phone:469-291-5187
Mailing Address - Fax:469-291-5187
Practice Address - Street 1:844 POTOMAC DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2009
Practice Address - Country:US
Practice Address - Phone:469-291-5187
Practice Address - Fax:469-291-5187
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide