Bailey, Eva J
Bailey, Eva J is an individual health care provider with primary practice located at 823 Pennsylvania Ave , Fort Worth TX 76104-2224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Bailey, Eva J can be contacted via phone (817) 332-3664.Contact Information
Primary practice address
823 Pennsylvania Ave
Fort Worth TX 76104-2224
Phone: (817) 332-3664
Fax: (817) 882-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | H5299 | Texas |
Profile Details
| NPI number | 1669476990 |
|---|---|
| LBN Legal business name | Bailey, Eva J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669476990 | NPPES |
| Texas | MEDICAID | 079577501 | |
| Texas | Other | 0040CG | |
| Texas | MEDICAID | 038391101 | |
| Texas | Other | 82931G |
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