Radomski, Debra Lynn

Radomski, Debra Lynn is an individual health care provider with primary practice located at 711 W Bay Area Blvd Suit 500, Webster TX 77598-4043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Radomski, Debra Lynn can be contacted via phone (281) 554-2200.

Contact Information

Primary practice address
711 W Bay Area Blvd Suit 500 Webster TX 77598-4043
Phone: (281) 554-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 253968 Texas

Profile Details

NPI number 1376550863
LBN Legal business name Radomski, Debra Lynn
Credentials APRN-BC GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 28th, 2008 - about 16 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 1376550863 NPPES
Texas MEDICAID 038057802

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