Mcfadden, Katrina L

Mcfadden, Katrina L is an sole proprietor health care provider with primary practice located at 5600 N Gate Rd Ste 103 , Granbury TX 76049-3119. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mcfadden, Katrina L can be contacted via phone (817) 326-5717.

Contact Information

Primary practice address
5600 N Gate Rd Ste 103 Granbury TX 76049-3119
Fax: (817) 326-5714
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19566 Texas

Profile Details

NPI number 1235288259
LBN Legal business name Mcfadden, Katrina L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Nov 2nd, 2021 - 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 1235288259 NPPES
Texas MEDICAID 009483101

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