Bargas, Phyllis L
Bargas, Phyllis L is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Bargas, Phyllis L can be contacted via phone (817) 921-3431.Contact Information
Primary practice address
1500 S Main St
Fort Worth TX 76104-4917
Phone: (817) 921-3431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 516017 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | AP108445 | Texas |
Profile Details
| NPI number | 1154364420 |
|---|---|
| LBN Legal business name | Bargas, Phyllis L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 28th, 2016 - about 10 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 | 1154364420 | NPPES |
| Texas | MEDICAID | 044386303 |
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