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
Phone: (325) 696-2432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1730796566 | NPPES |
| Other | 000000000 | FAMILY PRACTICE |
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