Eversley, Ricardo B

Eversley, Ricardo B is an individual health care provider with primary practice located at 510 E Clinton Ave , Athens TX 75751-3410. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Eversley, Ricardo B can be contacted via phone (903) 675-3202.

Contact Information

Primary practice address
510 E Clinton Ave Athens TX 75751-3410
Phone: (903) 675-3202
Fax: (903) 677-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 680403 Texas

Profile Details

NPI number 1083685150
LBN Legal business name Eversley, Ricardo B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 16th, 2010 - about 14 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 1083685150 NPPES
Texas MEDICAID 1667891-02
Texas MEDICAID 166789104

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