Addy, Carol A

Addy, Carol A is an individual health care provider with primary practice located at 945 Trophy Club Dr , Trophy Club TX 76262-5580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Addy, Carol A can be contacted via phone (817) 430-9111.

Contact Information

Primary practice address
945 Trophy Club Dr Trophy Club TX 76262-5580
Phone: (817) 430-9111
Fax: (817) 430-8911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00527 Texas

Profile Details

NPI number 1356472559
LBN Legal business name Addy, Carol A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Mar 7th, 2023 - about 2 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 1356472559 NPPES
Texas Other R0131625 TEXAS DPS
Texas Other PA00527 TEXAS DPS

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