Ackley, Brittany
Ackley, Brittany is an individual health care provider with primary practice located at 3502 Richmond Rd , Texarkana TX 75503-0705. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ackley, Brittany can be contacted via phone (903) 614-5270.Contact Information
Primary practice address
3502 Richmond Rd
Texarkana TX 75503-0705
Phone: (903) 614-5270
Fax: (903) 614-5279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R4928 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 760422435 | Texas |
Profile Details
| NPI number | 1295155844 |
|---|---|
| LBN Legal business name | Ackley, Brittany |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | May 7th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295155844 | NPPES |
| Texas | Other | P02599414 | RR MCR |
| Texas | MEDICAID | 200883090A | RR MCR |
| Texas | Other | 716046242 | RR MCR |
Popular Providers
-
Ditsch, Craig E
5002 Cowhorn Creek Rd , Texarkana TX 75503-9766 -
Tarpley, Jon A
815 N Kings Hwy , Texarkana TX 75501 -
Reep, Wilmer Lynn
2931 Richmond Rd , Texarkana TX 75503-2125 -
Graves, Blane A
1408 College Dr , Texarkana TX 75503-3534 -
Sarrett, James Randall
2101 Galleria Oaks Dr , Texarkana TX 75503-4625 -
Clevenger, Cheryl A
2931 Richmond Rd , Texarkana TX 75503 -
Wyrick, Scott W
3333 Potomac Ave , Texarkana TX 75503-3513 -
Jordan, Claudia L
5002 Cowhorn Creek Rd , Texarkana TX 75503-9766