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Contact Information

JACKIE L FLUHARTY, PA-C
2487 RICKER ROAD
WBAMC
FORT BLISS, TX79916
 Phone: 915-569-4387
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACKIE L FLUHARTY · (Female)

NPI # 1487791562
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/30/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA04480
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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