Aycock, Etta Marie

Aycock, Etta Marie is an individual health care provider with primary practice located at 1600 Hospital Pkwy , Bedford TX 76022-6913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Aycock, Etta Marie can be contacted via phone (817) 355-7800.

Contact Information

Primary practice address
1600 Hospital Pkwy Bedford TX 76022-6913
Phone: (817) 355-7800
Fax: (817) 355-7805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 216964 Texas

Profile Details

NPI number 1245207760
LBN Legal business name Aycock, Etta Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 3rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245207760 NPPES
Texas Other 430047353 RAILROAD
Texas MEDICAID 155484203 RAILROAD
Texas Other 81012U RAILROAD
Texas MEDICAID 088599803 RAILROAD

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