Fields, John H

Fields, John H is an individual health care provider with primary practice located at 1001 W Fairmont St , Longview TX 75604-3511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fields, John H can be contacted via phone (903) 758-2610.

Contact Information

Primary practice address
1001 W Fairmont St Longview TX 75604-3511
Phone: (903) 758-2610
Fax: (903) 758-7081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04509 Texas

Profile Details

NPI number 1730179433
LBN Legal business name Fields, John H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 18th, 2024 - about 8 months 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 1730179433 NPPES
Texas Other 8N8691 BLUE CROSS
Texas MEDICAID 181343801 BLUE CROSS

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