Alcantara, Enedina Enriquez
Alcantara, Enedina Enriquez is an individual health care provider with primary practice located at 1300 W Terrell Ave Fl 2 , Fort Worth TX 76104-2820. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Alcantara, Enedina Enriquez can be contacted via phone (817) 820-4906.Contact Information
Primary practice address
1300 W Terrell Ave Fl 2
Fort Worth TX 76104-2820
Phone: (817) 820-4906
Fax: (817) 820-4815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36397 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036101575 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M7817 | Texas |
Profile Details
| NPI number | 1467449108 |
|---|---|
| LBN Legal business name | Alcantara, Enedina Enriquez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 13th, 2012 - about 12 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 | 1467449108 | NPPES |
| Texas | MEDICAID | 192733702 |
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