Averitt, Grace
Averitt, Grace is an individual health care provider with primary practice located at 11714 Wilson Parke Ave Ste 150 , Austin TX 78726-4061. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Averitt, Grace can be contacted via phone (512) 346-6611.Contact Information
Primary practice address
11714 Wilson Parke Ave Ste 150
Austin TX 78726-4061
Phone: (512) 346-6611
Fax: (512) 406-6267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R6333 | Texas |
Profile Details
| NPI number | 1568849966 |
|---|---|
| LBN Legal business name | Averitt, Grace |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2015 |
| Last updated | Jan 19th, 2024 - about 2 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 | 1568849966 | NPPES |
| Texas | MEDICAID | 403173402 | |
| Texas | MEDICAID | 4031734 |
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