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Contact Information

ID PARTNERS PA
350 MATLOCK RD STE 201
MANSFIELD, TX76063
 Phone: 817-539-9091
 Fax: 817-539-9553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ID PARTNERS PA · (Female)

NPI # 1174075857
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2016
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # N1611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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