Favroth, Daphne Louise
Favroth, Daphne Louise is an individual health care provider with primary practice located at 189 N Plano Rd Suite150, Richardson TX 75081-8000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Favroth, Daphne Louise can be contacted via phone (972) 669-8400.Contact Information
Primary practice address
189 N Plano Rd Suite150
Richardson TX 75081-8000
Phone: (972) 669-8400
Fax: (972) 235-0033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 019205 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H9074 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 019205 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H9074 | Texas |
Profile Details
| NPI number | 1982600763 |
|---|---|
| LBN Legal business name | Favroth, Daphne Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2005 |
| Last updated | May 18th, 2022 - about 2 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 | 1982600763 | NPPES |
| Texas | MEDICAID | 139297916 | |
| Texas | MEDICAID | 139297917 | |
| Texas | MEDICAID | 139297918 |
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