Matero, Roneisa

Matero, Roneisa is an sole proprietor health care provider with primary practice located at 5414 S Broadway Ave , Tyler TX 75703-1335. 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. Matero, Roneisa can be contacted via phone (903) 581-1601.

Contact Information

Primary practice address
5414 S Broadway Ave Tyler TX 75703-1335
Phone: (903) 581-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 697561 Texas

Profile Details

NPI number 1508812512
LBN Legal business name Matero, Roneisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Feb 12th, 2016 - about 8 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 1508812512 NPPES
Texas MEDICAID 162890112
Texas MEDICAID 162890114
Texas Other P01569232
Texas Other P01570031
Texas MEDICAID 162890113

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