Dewolfe, Cara L

Dewolfe, Cara L is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. 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. Dewolfe, Cara L can be contacted via phone (903) 593-8441.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 593-8441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 51968 Texas

Profile Details

NPI number 1104808773
LBN Legal business name Dewolfe, Cara L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 20th, 2008 - about 17 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 1104808773 NPPES
Texas Other 750818167015 TRICARE
Texas MEDICAID 178942201 TRICARE
Texas Other 86045U TRICARE

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