Ingram, Brenda Leigh
Ingram, Brenda Leigh is an individual health care provider with primary practice located at 115 Airport Rd , Sulphur Springs TX 75482-2105. 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. Ingram, Brenda Leigh can be contacted via phone (903) 885-7671.Contact Information
Primary practice address
115 Airport Rd
Sulphur Springs TX 75482-2105
Phone: (903) 885-7671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03143 | Texas |
Profile Details
| NPI number | 1679688675 |
|---|---|
| LBN Legal business name | Ingram, Brenda Leigh |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Feb 10th, 2017 - 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 | 1679688675 | NPPES |
| Texas | Other | P01761904 | RAIL ROAD MEDICARE |
| Texas | Other | 75-2616977-002 | RAIL ROAD MEDICARE |
| Texas | Other | 75-2616977-129 | RAIL ROAD MEDICARE |
| Texas | Other | 8478MA | RAIL ROAD MEDICARE |
| Texas | MEDICAID | 313744004 | RAIL ROAD MEDICARE |
| Texas | MEDICAID | 313744006 | RAIL ROAD MEDICARE |
| Texas | Other | 75-2616977-001 | RAIL ROAD MEDICARE |
| Texas | Other | 8479MA | RAIL ROAD MEDICARE |
| Texas | Other | P01762486 | RAIL ROAD MEDICARE |
| Texas | Other | 75-0818167-015 | RAIL ROAD MEDICARE |
| Texas | Other | 75-0818167-044 | RAIL ROAD MEDICARE |
| Texas | Other | 75-0818167-048 | RAIL ROAD MEDICARE |
| Texas | Other | 75-2616977-028 | RAIL ROAD MEDICARE |
| Texas | MEDICAID | 313744005 | RAIL ROAD MEDICARE |
| Texas | Other | 75-0818167-022 | RAIL ROAD MEDICARE |
| Texas | Other | 75-1976930-005 | RAIL ROAD MEDICARE |
| Texas | MEDICAID | 313744007 | RAIL ROAD MEDICARE |
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