Doctor Name: | ELISHA MCCALL-PRESTON |
NPI Number: | 1043496110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 630820 |
Business Practice Address: | 3150 Clarksville St Suite 100 Paris, TX - 754608076 |
Business Phone Number: | 9037829206 |
Business Fax Number: | 9037837367 |
Mailing Address: | 3150 Clarksville St, Suite 100 PARIS |
State: | TX |
Postal Code: | 754608076 |
Phone Number: | 9037829206 |
Fax Number: | 9037837367 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 02/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 630820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |