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
Fax: (817) 569-1527
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700839123 NPPES
Texas MEDICAID 174743802
Texas Other 8GA571
Texas Other 8U1292
Texas Other P00837813

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