Davis, Terry D'Wayne
Davis, Terry D'Wayne is an sole proprietor health care provider with primary practice located at 3816 Piedmont Rd , Fort Worth TX 76116. He recently has only one registered license in Suppliers / Emergency Response System Companies, which is considered as his primary health care specialty. Davis, Terry D'Wayne can be contacted via phone (817) 731-3440.Contact Information
Primary practice address
3816 Piedmont Rd
Fort Worth TX 76116
Phone: (817) 731-3440
Fax: (817) 731-0212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Emergency Response System Companies | 333300000X |
Profile Details
| NPI number | 1902935778 |
|---|---|
| LBN Legal business name | Davis, Terry D'Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jan 5th, 2024 - about 10 months 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 | 1902935778 | NPPES |
| Texas | MEDICAID | D001015012 |
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