Felton, Tawonda

Felton, Tawonda is an sole proprietor health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Felton, Tawonda can be contacted via phone (903) 531-5422.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 531-5422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 577424 Texas

Profile Details

NPI number 1578558649
LBN Legal business name Felton, Tawonda
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Dec 28th, 2015 - about 9 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 1578558649 NPPES
Texas MEDICAID 002393908
Texas MEDICAID 002393909
Texas MEDICAID 152540401
Texas MEDICAID 8052884

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