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ELENA GUROVA MD PA NPI 1790862316


NPI Information

NPI: 1790862316
Provider Name: ELENA GUROVA, MD PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D1056377

Address:
519 N MAIN ST
CLEBURNE, TX
ZIP 76033
Phone: (817) 645-5915
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ELENA GUROVA, MD PA is an internal medicine in Cleburne, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ELENA GUROVA, MD PA NPI is 1790862316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

519 N MAIN ST
CLEBURNE, TX
ZIP 76033-845
Phone: (817) 645-5915
Fax: (817) 645-5935

The provider's authorized official is Elena Gurova .
The authorized official title is President And Secretaly and has the following contact phone number (817) 645-5915.

The CLIA number assigned to this NPI record is 45D1056377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineL7404TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100W998MEDICARE PINTEXAS
2183757701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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