Elizabeth Bridges, RDH
Individual provider Active NPI Dental Hygienist · Bastrop, TX
NPI 1831603141 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1831603141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 605 Old Austin Hwy
Bastrop, TX 78602-5034 - Phone
- (512) 308-6894
- NPI assigned
- Nov 22, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes |
Addresses
Primary practice location
605 Old Austin Hwy
Bastrop, TX 78602-5034
Mailing address
530 Sandringham
Beaumont, TX 77713-4092
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.