Alexander, Deborah Vereen
Alexander, Deborah Vereen is an individual health care provider with primary practice located at 6100 Jacksboro Hwy , Fort Worth TX 76135-3703. 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. Alexander, Deborah Vereen can be contacted via phone (817) 237-4594.Contact Information
Primary practice address
6100 Jacksboro Hwy
Fort Worth TX 76135-3703
Phone: (817) 237-4594
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00647 | Texas |
Profile Details
NPI number | 1366406191 |
---|---|
LBN Legal business name | Alexander, Deborah Vereen |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Sep 19th, 2011 - about 14 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 | 1366406191 | NPPES |
Texas | MEDICAID | 196327401 | |
Texas | Other | 8N9188 |
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