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Elizabeth Breedlove Family Practice & Aesthetics PLLC

NPI 1356740054ActiveOrganization· Nurse Practitioner, Family· Tatum, TX

Nurse Practitioner, Family in Tatum, Texas, registered in NPPES in August 2014. The authorized official on file is Elizabeth Ann Breedlove, FNP-C, Owner/ Nurse Pracitioner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1356740054
StatusActive
Entity typeOrganization
NPI issuedAug 19, 2014
Last updated in NPPESAug 4, 2026
Certified by providerAug 4, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X691969TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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