Spurgin, Deanie

Spurgin, Deanie is an individual health care provider with primary practice located at 3801 William D Tate Ave Ste 850 , Grapevine TX 76051-8757. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spurgin, Deanie can be contacted via phone (817) 310-3070.

Contact Information

Primary practice address
3801 William D Tate Ave Ste 850 Grapevine TX 76051-8757
Phone: (817) 310-3070
Fax: (817) 310-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 241446 Texas

Profile Details

NPI number 1700887130
LBN Legal business name Spurgin, Deanie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 8th, 2009 - 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 1700887130 NPPES
Texas MEDICAID 205066802
Texas MEDICAID 205066803
Texas MEDICAID 205066801

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