Humphrey, Alfred Leon

Humphrey, Alfred Leon is an individual health care provider with primary practice located at 910 N Davis Dr , Arlington TX 76012-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Humphrey, Alfred Leon can be contacted via phone (817) 461-0199.

Contact Information

Primary practice address
910 N Davis Dr Arlington TX 76012-3200
Phone: (817) 461-0199
Fax: (817) 460-2153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D5043 Texas

Profile Details

NPI number 1164426946
LBN Legal business name Humphrey, Alfred Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 30th, 2011 - about 13 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 1164426946 NPPES
Texas MEDICAID 115671304

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