Lovelace, Candis M

Lovelace, Candis M is an individual health care provider with primary practice located at 4400 Heritage Trace Parkway Suite 200, Fort Worth TX 76244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Lovelace, Candis M can be contacted via phone (817) 380-1087.

Contact Information

Primary practice address
4400 Heritage Trace Parkway Suite 200 Fort Worth TX 76244
Phone: (817) 380-1087
Fax: (817) 380-1088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X N3845 Texas

Profile Details

NPI number 1811037245
LBN Legal business name Lovelace, Candis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 14th, 2012 - 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 1811037245 NPPES
Texas MEDICAID 208491501
Texas Other 8CC632

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