Xavier, Agnes Bertha
Xavier, Agnes Bertha is an sole proprietor health care provider with primary practice located at 1655 Ne Loop 286 , Paris TX 75460-2219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Xavier, Agnes Bertha can be contacted via phone (903) 739-9191.Contact Information
Primary practice address
1655 Ne Loop 286
Paris TX 75460-2219
Phone: (903) 739-9191
Fax: (903) 739-2773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H1679 | Texas |
Profile Details
| NPI number | 1407075864 |
|---|---|
| LBN Legal business name | Xavier, Agnes Bertha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1407075864 | NPPES |
| Texas | MEDICAID | P000D61Z8 |
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