Vasylyeva, Tetyana L
Vasylyeva, Tetyana L is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Vasylyeva, Tetyana L can be contacted via phone (806) 414-9800.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | N8070 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 228852 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 234150 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 42535 | Texas |
Profile Details
| NPI number | 1255542023 |
|---|---|
| LBN Legal business name | Vasylyeva, Tetyana L |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 10th, 2016 - about 9 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 | 1255542023 | NPPES |
| New Mexico | MEDICAID | 73730785 | |
| New Mexico | MEDICAID | 198943601 | |
| New Mexico | MEDICAID | 200232360A | |
| New Mexico | MEDICAID | 198943602 |
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