Farricielli, Ella Viktorovna

Farricielli, Ella Viktorovna is an individual health care provider with primary practice located at 505 N Highway 77 Suite 200, Waxahachie TX 75165-1128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Farricielli, Ella Viktorovna can be contacted via phone (972) 923-1686.

Contact Information

Primary practice address
505 N Highway 77 Suite 200 Waxahachie TX 75165-1128
Fax: (972) 937-7731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN10075 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N7920 Texas

Profile Details

NPI number 1942399530
LBN Legal business name Farricielli, Ella Viktorovna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 21st, 2012 - about 12 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 1942399530 NPPES
Texas Other 8CR652 BCBSTX
Texas MEDICAID 280059101 BCBSTX

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