Djokovic, Marija
Djokovic, Marija is an individual health care provider with primary practice located at 4701 Bryant Irvin Rd N , Fort Worth TX 76107-7627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Djokovic, Marija can be contacted via phone (817) 702-3100.Contact Information
Primary practice address
4701 Bryant Irvin Rd N
Fort Worth TX 76107-7627
Phone: (817) 702-3100
Fax: (817) 569-1527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M0704 | Texas |
Profile Details
| NPI number | 1700839123 |
|---|---|
| LBN Legal business name | Djokovic, Marija |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 21st, 2022 - 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 | 1700839123 | NPPES |
| Texas | MEDICAID | 174743802 | |
| Texas | Other | 8GA571 | |
| Texas | Other | 8U1292 | |
| Texas | Other | P00837813 |
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