Dr. Elizabeth Anne Eagle, DO
Obstetrics & Gynecology, Maternal & Fetal Medicine in Fort Worth, TX. Individual provider (NPI-1).
NPI number1669977856
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1669977856
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Anne Eagle
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2018
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | T4146 | TX | Yes |
Other names
- Elizabeth Anne Forner (Former Name)
Practice location
1325 Pennsylvania Ave Ste 600Fort Worth, TX 76104-2133
Phone 682-267-8694
Mailing address
3500 Gaston AveDallas, TX 75246-2017
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