Eubanks, Ron R
Eubanks, Ron R is an sole proprietor health care provider with primary practice located at 17480 Dallas Pkwy Suite 108, Dallas TX 75287-7337. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Eubanks, Ron R can be contacted via phone (972) 713-9098.Contact Information
Primary practice address
17480 Dallas Pkwy Suite 108
Dallas TX 75287-7337
Phone: (972) 713-9098
Fax: (972) 713-9139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 22644 | Texas |
Profile Details
| NPI number | 1619073640 |
|---|---|
| LBN Legal business name | Eubanks, Ron R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1619073640 | NPPES |
| Texas | MEDICAID | 00333528-01 |
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