Landers, Diane Wallace
Landers, Diane Wallace is an individual health care provider with primary practice located at 811 W Interstate 20 Ste 120 , Arlington TX 76017-5871. 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. Landers, Diane Wallace can be contacted via phone (817) 468-3393.Contact Information
Primary practice address
811 W Interstate 20 Ste 120
Arlington TX 76017-5871
Phone: (817) 468-3393
Fax: (817) 468-8734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01040 | Texas |
Profile Details
| NPI number | 1023051471 |
|---|---|
| LBN Legal business name | Landers, Diane Wallace |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Nov 25th, 2019 - 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.
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