Bargas, Phyllis L

Bargas, Phyllis L is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Bargas, Phyllis L can be contacted via phone (817) 921-3431.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Phone: (817) 921-3431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 516017 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP108445 Texas

Profile Details

NPI number 1154364420
LBN Legal business name Bargas, Phyllis L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 28th, 2016 - about 8 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 1154364420 NPPES
Texas MEDICAID 044386303

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