Eubanks, Andrew William

Eubanks, Andrew William is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Eubanks, Andrew William can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
12222 Merit Dr Ste 600 Dallas TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 1566 Texas

Profile Details

NPI number 1942634654
LBN Legal business name Eubanks, Andrew William
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Feb 29th, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942634654 NPPES
Texas MEDICAID 344586801
Texas Other P01326796

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