Cantrell, Jeffery S
Cantrell, Jeffery S is an individual health care provider with primary practice located at 5000 Long Prairie Rd , Flower Mound TX 75028-2783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cantrell, Jeffery S can be contacted via phone (972) 420-1776.Contact Information
Primary practice address
5000 Long Prairie Rd
Flower Mound TX 75028-2783
Phone: (972) 420-1776
Fax: (972) 436-6996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | H6092 | Texas |
Profile Details
| NPI number | 1710945134 |
|---|---|
| LBN Legal business name | Cantrell, Jeffery S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 16th, 2018 - about 6 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 | 1710945134 | NPPES |
| Texas | MEDICAID | 099601903 | |
| Texas | Other | 8AJ785 | |
| Texas | Other | 200018562 |
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