Elizabeth Paige Latiolais Allen, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Huntsville, TX

NPI 1053170308 · NPPES record last updated Jun 21, 2025

Key facts

NPI
1053170308
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone
(936) 291-4204
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240523002258 FL Order and Referring Only - Physical Medicine and Rehabilitation
Practitioner - Physical Medicine and Rehabilitation
2668814583

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: elizabeth.allen.1@13218.direct.athenahealth.com
  • Direct secure messaging: elizabeth.latiolais@hca5.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

110 Memorial Hospital Dr
Huntsville, TX 77340-4940

Mailing address

1215 Gendarme Rd
Carencro, LA 70520-5113
Phone (337) 344-3988

Other practice location 1

1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 333-5159

Other names

  • Elizabeth Paige Latiolais Former name

Other providers in Huntsville, TX

All providers in Huntsville, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.