Fountain, Cameron
Fountain, Cameron is an sole proprietor health care provider with primary practice located at 612 N Story Rd Ste 101 , Irving TX 75061-6764. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fountain, Cameron can be contacted via phone (469) 708-2955.Contact Information
Primary practice address
612 N Story Rd Ste 101
Irving TX 75061-6764
Phone: (469) 708-2955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Texas |
Profile Details
| NPI number | 1801405238 |
|---|---|
| LBN Legal business name | Fountain, Cameron |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2020 |
| Last updated | Jul 31st, 2020 - about 4 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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