Elisa Basora Rovira

MD | Pediatric Pulmonology | Female

---

Complete Profile:

Elisa Basora Rovira basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Elisa Basora Rovira
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Elisa Basora Rovira address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2350 N. Stemmons Fwy (i-35), Dallas Ambulatory Care Pavillion Dallas, TX, 75207 United States
Phone Number :	214-456-4630
Fax Number :	214-456-5406

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1396979639
NPI Entity Type :	Individual
First Enrolment Date :	13 May, 2009
Last Updated On :	21 Jul, 2022

Medicare Participation:

Elisa Basora Rovira participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012346216
Medicare Enrollment ID :	I20200409002807
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Elisa Basora Rovira accepts medicare insurance.

Group Practice Association:

Elisa Basora Rovira is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elisa Basora Rovira is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Texas Southwestern Medical Center	0648188250	2495	7601 Preston Rd Plano, TX - 750243214 Ph: 4693037000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elisa Basora Rovira are as mentioned. Primary taxonomy code for Elisa Basora Rovira, MD is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	R1703	TX
2080S0012X	Pediatrics Sleep Medicine	No	R1703	TX
208D00000X	General Practice	No	017516	PR
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	R1703	TX

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2140 Medical District Dr Apt 4069 Dallas, TX, 75235-8286 United States
Phone Number :	787-457-0657

Business Location:

Patients can refer following map for directions to Elisa Basora Rovira practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.