Provider Demographics
NPI:1992038913
Name:HASTEN, ELIZABETH ANN (PA)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:ANN
Last Name:HASTEN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3150 CLARKSVILLE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-8076
Mailing Address - Country:US
Mailing Address - Phone:903-783-9206
Mailing Address - Fax:903-783-7368
Practice Address - Street 1:3150 CLARKSVILLE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-8076
Practice Address - Country:US
Practice Address - Phone:903-783-9206
Practice Address - Fax:903-783-7368
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant