Longworth, Judith C

Longworth, Judith C is an individual health care provider with primary practice located at 740 S Alamo , San Antonio TX 78205-3437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Longworth, Judith C can be contacted via phone (210) 222-0333.

Contact Information

Primary practice address
740 S Alamo San Antonio TX 78205-3437
Phone: (210) 222-0333
Fax: (210) 222-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 633826 Texas

Profile Details

NPI number 1245227875
LBN Legal business name Longworth, Judith C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 15th, 2011 - about 14 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 1245227875 NPPES
Texas MEDICAID 160866301

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