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
Fax: (903) 496-0534
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1861671281 NPPES
Texas MEDICAID 325375903
Texas Other P6255
Texas MEDICAID 325375904

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