Elliemadeaustin

NPI #1447652243 in Paige, Texas

Provider Information

NPI Number: 1447652243
Entity Type: Organization
Organization Name: Elliemadeaustin
Primary Specialty: Contractor
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 1036 STOCKADE RANCH RD
City: Paige
State: Texas
ZIP Code: 78659-4446
Phone: (512) 629-7416

Authorized Official

Name: ELIZABETH TISDALE
Title: OWNER
Phone: (512) 629-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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