Piedra, Jorge

Piedra, Jorge is an sole proprietor health care provider with primary practice located at 1542 Treehouse Ln S , Keller TX 76262-8949. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Piedra, Jorge can be contacted via phone (817) 312-0528.

Contact Information

Primary practice address
1542 Treehouse Ln S Keller TX 76262-8949
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 43612 Texas

Profile Details

NPI number 1306447669
LBN Legal business name Piedra, Jorge
Credentials PHARMD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2020
Last updated Nov 3rd, 2020 - about 5 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 1306447669 NPPES
Texas Other 43612 PHARMACIST LICENSE NUMBER

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