Ribeiro, Annelise Natasha
Ribeiro, Annelise Natasha is an sole proprietor health care provider with primary practice located at 675 Town Square Blvd Bldg 1A , Garland TX 75040-2992. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ribeiro, Annelise Natasha can be contacted via phone (903) 474-1983.Contact Information
Primary practice address
675 Town Square Blvd Bldg 1A
Garland TX 75040-2992
Phone: (903) 474-1983
Fax: (903) 496-0534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | P6255 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P6255 | Texas |
Profile Details
| NPI number | 1861671281 |
|---|---|
| LBN Legal business name | Ribeiro, Annelise Natasha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Nov 17th, 2021 - 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 | 1861671281 | NPPES |
| Texas | MEDICAID | 325375903 | |
| Texas | Other | P6255 | |
| Texas | MEDICAID | 325375904 |
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