Mace, Andrea M

Mace, Andrea M is an individual health care provider with primary practice located at 2008 Silver Creek Dr , Euless TX 76040-3951. 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. Mace, Andrea M can be contacted via phone (817) 983-5712.

Contact Information

Primary practice address
2008 Silver Creek Dr Euless TX 76040-3951
Phone: (817) 983-5712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001094 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06189 Texas

Profile Details

NPI number 1356548333
LBN Legal business name Mace, Andrea M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 6th, 2021 - about 4 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 1356548333 NPPES
Maine Other P00436050 RAILROAD MEDICARE

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