Leftwich, Tennille L

Leftwich, Tennille L is an individual health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075-7738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leftwich, Tennille L can be contacted via phone (469) 562-1265.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075-7738
Phone: (469) 562-1265
Fax: (469) 484-0648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA05559 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05559 Texas

Profile Details

NPI number 1548448186
LBN Legal business name Leftwich, Tennille L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Sep 9th, 2022 - about 3 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 1548448186 NPPES
Texas Other 174014100 FIRST CARE
Texas Other P00629320 FIRST CARE
Texas MEDICAID 193513201 FIRST CARE
Texas Other 8Y3719 FIRST CARE

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