Eagle, Mary Madison
Eagle, Mary Madison is an sole proprietor health care provider with primary practice located at 4837 Bryce Ave , Fort Worth TX 76107-4144. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eagle, Mary Madison can be contacted via phone (817) 980-7474.Contact Information
Primary practice address
4837 Bryce Ave
Fort Worth TX 76107-4144
Phone: (817) 980-7474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 16-18P | Arkansas |
Profile Details
| NPI number | 1639625171 |
|---|---|
| LBN Legal business name | Eagle, Mary Madison |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2016 |
| Last updated | Aug 25th, 2016 - about 10 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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