Provider Demographics
NPI:1922037894
Name:PALAZZETTI, ELIZABETH BRADLEY (PA-C)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:BRADLEY
Last Name:PALAZZETTI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:431 E STATE HIGHWAY 114 STE 300
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-1484
Practice Address - Country:US
Practice Address - Phone:817-251-6500
Practice Address - Fax:817-442-0050
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2024-07-02
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Provider Licenses
StateLicense IDTaxonomies
TXPA01811363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant