Fitzpatrick, Teddy Ray

Fitzpatrick, Teddy Ray is an individual health care provider with primary practice located at 1524 S Ih 35 Ste 300 , Austin TX 78704-2603. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Fitzpatrick, Teddy Ray can be contacted via phone (512) 382-0222.

Contact Information

Primary practice address
1524 S Ih 35 Ste 300 Austin TX 78704-2603
Fax: (512) 382-0765
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 861644 Texas

Profile Details

NPI number 1275037871
LBN Legal business name Fitzpatrick, Teddy Ray
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Mar 20th, 2018 - about 6 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 1275037871 NPPES
Texas MEDICAID 014885

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