Retz, Jacy L
Retz, Jacy L is an individual health care provider with primary practice located at 500 W Medical Center Blvd , Webster TX 77598-4220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Retz, Jacy L can be contacted via phone (615) 371-7879.Contact Information
Primary practice address
500 W Medical Center Blvd
Webster TX 77598-4220
Phone: (615) 371-7879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2002001742 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2002001742 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | N5358 | Texas |
Profile Details
| NPI number | 1285667089 |
|---|---|
| LBN Legal business name | Retz, Jacy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Feb 6th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285667089 | NPPES |
| Texas | Other | 1285667089 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 217643003 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 75-2616977-042 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 810000902 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 8EB371 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 100227160A | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 205785108 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 100416540A | BLUE CROSS BLUE SHIELD |
| Texas | Other | P01290935 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 144600 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 217643001 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P00898407 | BLUE CROSS BLUE SHIELD |
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