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
Phone: (512) 382-0222
Fax: (512) 382-0765
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275037871 | NPPES |
| Texas | MEDICAID | 014885 |
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