Abernethy, Joan L

Abernethy, Joan L is an individual health care provider with primary practice located at 6551 Harris Pkwy Suite 200, Fort Worth TX 76132-6103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Abernethy, Joan L can be contacted via phone (817) 423-1800.

Contact Information

Primary practice address
6551 Harris Pkwy Suite 200 Fort Worth TX 76132-6103
Phone: (817) 423-1800
Fax: (817) 510-0964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K5322 Texas

Profile Details

NPI number 1871590471
LBN Legal business name Abernethy, Joan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated May 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871590471 NPPES
Texas MEDICAID 170396908
Texas MEDICAID 170396902
Texas MEDICAID 170396903

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