Carmony, Brent R
Carmony, Brent R is an sole proprietor health care provider with primary practice located at 5305 Cowhorn Creek Road , Texarkana TX 75503. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Carmony, Brent R can be contacted via phone (903) 791-8405.Contact Information
Primary practice address
5305 Cowhorn Creek Road
Texarkana TX 75503
Phone: (903) 791-8405
Fax: (903) 793-1046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 19239 | Texas |
Profile Details
| NPI number | 1780742023 |
|---|---|
| LBN Legal business name | Carmony, Brent R |
| Credentials | M.S., D.D.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Feb 11th, 2021 - about 3 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 | 1780742023 | NPPES |
| Texas | Other | D19239 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 105690 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 277330 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 97859 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 090180301 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 900-53697 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 135572679 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 3109694 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 090180302 | BLUE CROSS BLUE SHIELD |
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