SearchTexas1223G0001X

Iana Elledge, DMD

NPI 1619520087 · on the registry since 2019

Practice

Address
4801 Amarra Dr
Austin, TX 78735
Phone
(408) 221-9128

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas