Callaway, Tabitha

Callaway, Tabitha is an sole proprietor health care provider with primary practice located at 1517 E Arnold Blvd , Dyess Afb TX 79607-1348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Callaway, Tabitha can be contacted via phone (325) 696-2432.

Contact Information

Primary practice address
1517 E Arnold Blvd Dyess Afb TX 79607-1348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010416 Texas

Profile Details

NPI number 1730796566
LBN Legal business name Callaway, Tabitha
Credentials FNP-C, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2020
Last updated Nov 19th, 2020 - about 4 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 1730796566 NPPES
Other 000000000 FAMILY PRACTICE

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