Herterich, Deborah K.
Herterich, Deborah K. is an individual health care provider with primary practice located at 3024 Highway 121 , Bedford TX 76021-4037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Herterich, Deborah K. can be contacted via phone (817) 494-5000.Contact Information
Primary practice address
3024 Highway 121
Bedford TX 76021-4037
Phone: (817) 494-5000
Fax: (817) 494-5001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP104697 | Texas |
Profile Details
NPI number | 1437158383 |
---|---|
LBN Legal business name | Herterich, Deborah K. |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Dec 19th, 2016 - about 8 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 | 1437158383 | NPPES |
Texas | MEDICAID | 163726611 | |
Texas | MEDICAID | 163726601 | |
Texas | MEDICAID | 163726602 |
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