Provider Demographics
NPI:1871796078
Name:ELKINS, LINDA CAROL (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:ELKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16415 ADDISON RD STE 900
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3268
Mailing Address - Country:US
Mailing Address - Phone:214-414-3806
Mailing Address - Fax:214-414-0376
Practice Address - Street 1:16415 ADDISON RD STE 900
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3268
Practice Address - Country:US
Practice Address - Phone:214-414-3806
Practice Address - Fax:214-414-0376
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9996207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000979722OtherANTHEM
KY50020464OtherPASSPORT PCP - FOUNDATION
KY7100051510Medicaid
KY50020460OtherPASSPORT SPECIALITY - PSC
00000571998OtherANTHEM
IN200908690Medicaid
KY50020411OtherPASSPORT SPECIALITY - FOUNDATION
0000000979722OtherANTHEM
KY7100051510Medicaid