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Contact Information

8901 TEHAMA RIDGE PKWY PLLC
8901 TEHAMA RIDGE PKWY STE 119
FORT WORTH, TX76177-2032
 Phone: 214-317-4039
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 8901 TEHAMA RIDGE PKWY PLLC · (Female)

NPI # 1265157978
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2022
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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