Pannell, Craig Eugene

Pannell, Craig Eugene is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Pannell, Craig Eugene can be contacted via phone (817) 335-3022.

Contact Information

Primary practice address
3840 Hulen St Fort Worth TX 76107-7277
Phone: (817) 335-3022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 661244 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP111175 Texas

Profile Details

NPI number 1013925460
LBN Legal business name Pannell, Craig Eugene
Credentials APRN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 24th, 2020 - 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 1013925460 NPPES
Texas MEDICAID 168981203

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