De Jesus, Maria Audrie
De Jesus, Maria Audrie is an sole proprietor health care provider with primary practice located at 500 Throckmorton Street Unit 3309, Fort Worth TX 76102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. De Jesus, Maria Audrie can be contacted via phone (817) 908-8124.Contact Information
Primary practice address
500 Throckmorton Street Unit 3309
Fort Worth TX 76102
Phone: (817) 908-8124
Fax: (817) 885-7339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | P4641 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | P4641 | Texas |
Profile Details
| NPI number | 1336176387 |
|---|---|
| LBN Legal business name | De Jesus, Maria Audrie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336176387 | NPPES |
| New York | Other | 030440476DE02 | CARE PLUS |
| New York | Other | P3241805 | CARE PLUS |
| New York | Other | 3099038 | CARE PLUS |
| New York | Other | 4C9461 | CARE PLUS |
| New York | Other | 206602 | CARE PLUS |
| New York | Other | 7745380 | CARE PLUS |
| New York | MEDICAID | 01872586 | CARE PLUS |
| New York | Other | 2399196 | CARE PLUS |
| New York | Other | 30440476 | CARE PLUS |
| New York | Other | 53N521 | CARE PLUS |
| New York | Other | 902408901 | CARE PLUS |
| New York | MEDICAID | 3283244 07 | CARE PLUS |
| New York | Other | DM6602 | CARE PLUS |
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