Dallas, Anthony Vernon

Dallas, Anthony Vernon is an sole proprietor health care provider with primary practice located at 211 Indian Lake Blvd Suite A, Hendersonville TN 37075-6214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dallas, Anthony Vernon can be contacted via phone (615) 826-3100.

Contact Information

Primary practice address
211 Indian Lake Blvd Suite A Hendersonville TN 37075-6214
Phone: (615) 826-3100
Fax: (615) 447-1059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD16926 Tennessee

Profile Details

NPI number 1861437063
LBN Legal business name Dallas, Anthony Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Aug 10th, 2015 - about 11 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 1861437063 NPPES
Tennessee MEDICAID 1517861

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