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Contact Information

ALEXANDRA NEBERGALL, PA
1500 S MAIN ST
FORT WORTH, TX76104
 Phone: 817-702-4151
 Fax: 817-702-4161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXANDRA NEBERGALL · (Female)

NPI # 1467947531
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/29/2018
Last updated 01/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • License # PA12070
  • TX License # PA12070
Hospital affiliation(s)
  • JPS HEALTH NETWORK - (Acute Care)
    1500 S MAIN ST
    FORT WORTH, TX 76104
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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