Willcox, Nevena Pavlovic
Willcox, Nevena Pavlovic is an individual health care provider with primary practice located at 1650 W College St Suite 150, Grapevine TX 76051-3565. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Willcox, Nevena Pavlovic can be contacted via phone (817) 388-3440.Contact Information
Primary practice address
1650 W College St Suite 150
Grapevine TX 76051-3565
Phone: (817) 388-3440
Fax: (817) 388-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q4708 | Texas |
Profile Details
| NPI number | 1609076637 |
|---|---|
| LBN Legal business name | Willcox, Nevena Pavlovic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Apr 26th, 2023 - about last year |
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 | 1609076637 | NPPES |
| Arkansas | Other | 440163501 | AR MEDICAID TEMP RX NUMBE |
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