Faz, Roosevelt
Faz, Roosevelt is an individual health care provider with primary practice located at 1141 N Loop 1604 E # 105-612 , San Antonio TX 78232-1339. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Faz, Roosevelt can be contacted via phone (210) 598-2800.Contact Information
Primary practice address
1141 N Loop 1604 E # 105-612
San Antonio TX 78232-1339
Phone: (210) 598-2800
Fax: (210) 598-4236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1215470802 |
|---|---|
| LBN Legal business name | Faz, Roosevelt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2016 |
| Last updated | Nov 30th, 2016 - about 8 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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