Brackett, Elizabeth Erin

Brackett, Elizabeth Erin is an individual health care provider with primary practice located at 108 Waterview Pkwy , Boerne TX 78006-2885. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Brackett, Elizabeth Erin can be contacted via phone (210) 653-5501.

Contact Information

Primary practice address
108 Waterview Pkwy Boerne TX 78006-2885
Phone: (210) 653-5501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X S5329 Texas

Profile Details

NPI number 1801241633
LBN Legal business name Brackett, Elizabeth Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Mar 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801241633 NPPES
Texas MEDICAID 411835801

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