Provider Demographics
NPI:1962601849
Name:PAPAILA HAWES, ELIZABETH M (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:PAPAILA HAWES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:PAPAILA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4708 ALLIANCE BLVD
Mailing Address - Street 2:PAVILION I, SUITE 270
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5340
Mailing Address - Country:US
Mailing Address - Phone:972-758-4990
Mailing Address - Fax:972-758-4991
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:PAVILION I, SUITE 270
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:972-758-4990
Practice Address - Fax:972-758-4991
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3407208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3085458-01Medicaid
TX3085458-02Medicaid
TXTXB164370Medicare PIN
TX3085458-02Medicaid