Newcomb, Patricia B
Newcomb, Patricia B is an individual health care provider with primary practice located at 2528 Jacksboro Hwy , Fort Worth TX 76114-2206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Newcomb, Patricia B can be contacted via phone (817) 625-1770.Contact Information
Primary practice address
2528 Jacksboro Hwy
Fort Worth TX 76114-2206
Phone: (817) 625-1770
Fax: (817) 625-1287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 510094 | Texas |
Profile Details
| NPI number | 1366447013 |
|---|---|
| LBN Legal business name | Newcomb, Patricia B |
| Credentials | PHD RN CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2005 |
| Last updated | May 20th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366447013 | NPPES |
| Texas | Other | 00U87Z | MEDICARE GROUP PIN |
| Texas | Other | 137345810 | MEDICARE GROUP PIN |
| Texas | MEDICAID | 062615204 | MEDICARE GROUP PIN |
| Texas | Other | 1750369203 | MEDICARE GROUP PIN |
| Texas | Other | 140442852 | MEDICARE GROUP PIN |
| Texas | Other | 062615205 | MEDICARE GROUP PIN |
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