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
Health care specialties
Specialty | Code | License # | 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 10 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 | 1578558649 | NPPES |
Texas | MEDICAID | 002393908 | |
Texas | MEDICAID | 002393909 | |
Texas | MEDICAID | 152540401 | |
Texas | MEDICAID | 8052884 |
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