Bivens, Margarete Latrice

Bivens, Margarete Latrice is an sole proprietor health care provider with primary practice located at 1400 N Ih 35 Ste 320 , Austin TX 78701-1926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bivens, Margarete Latrice can be contacted via phone (512) 324-8320.

Contact Information

Primary practice address
1400 N Ih 35 Ste 320 Austin TX 78701-1926
Fax: (512) 324-8326
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02958 Texas

Profile Details

NPI number 1437149747
LBN Legal business name Bivens, Margarete Latrice
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated May 29th, 2012 - about 14 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 1437149747 NPPES
Texas Other 8N6004 BCBS
Texas MEDICAID 180307401 BCBS

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