Bailey, Eva J

Bailey, Eva J is an individual health care provider with primary practice located at 823 Pennsylvania Ave , Fort Worth TX 76104-2224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Bailey, Eva J can be contacted via phone (817) 332-3664.

Contact Information

Primary practice address
823 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 332-3664
Fax: (817) 882-9888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X H5299 Texas

Profile Details

NPI number 1669476990
LBN Legal business name Bailey, Eva J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 21st, 2023 - about 3 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 1669476990 NPPES
Texas MEDICAID 079577501
Texas Other 0040CG
Texas MEDICAID 038391101
Texas Other 82931G

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