Huertas, Gladys A
Huertas, Gladys A is an individual health care provider with primary practice located at 11300 N Lamar Blvd , Austin TX 78753-2665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Huertas, Gladys A can be contacted via phone (512) 835-6751.Contact Information
Primary practice address
11300 N Lamar Blvd
Austin TX 78753-2665
Phone: (512) 835-6751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04029 | Texas |
Profile Details
| NPI number | 1700848587 |
|---|---|
| LBN Legal business name | Huertas, Gladys A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 1st, 2021 - about 5 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 | 1700848587 | NPPES |
| Texas | Other | 8N9123 | BLUE SHIELD |
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