Doctor Name: | DR. ELIZABETH ASHLEY FONTENOT |
NPI Number: | 1336262633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 1431 |
Business Practice Address: | 1124 N Velasco St Suite E Angleton, TX - 775153160 |
Business Phone Number: | 9798498900 |
Business Fax Number: | 9798499995 |
Mailing Address: | 1124 N Velasco St, Suite E ANGLETON |
State: | TX |
Postal Code: | 775153160 |
Phone Number: | 9798498900 |
Fax Number: | 9798499995 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1431 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |