Provider Demographics
NPI:1528275260
Name:GARRISON, ELIZABETH BISHOP (BS, LMT, NCTM, MMP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BISHOP
Last Name:GARRISON
Suffix:
Gender:F
Credentials:BS, LMT, NCTM, MMP
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 940467
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-0467
Mailing Address - Country:US
Mailing Address - Phone:214-734-5732
Mailing Address - Fax:214-764-3139
Practice Address - Street 1:210 CENTRAL EXPY S
Practice Address - Street 2:STE 64 STUDIO 37
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8005
Practice Address - Country:US
Practice Address - Phone:214-734-5732
Practice Address - Fax:214-764-3139
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT037251171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor