Provider Demographics
NPI:1699166991
Name:FOLEY, ELIZABETH L (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:L
Last Name:FOLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:LEVACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1510 W 34TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1432
Mailing Address - Country:US
Mailing Address - Phone:512-533-9900
Mailing Address - Fax:512-533-9901
Practice Address - Street 1:505 W LOUIS HENNA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-1703
Practice Address - Country:US
Practice Address - Phone:512-533-9900
Practice Address - Fax:512-533-9901
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXS2031207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program