Dvorak, Carol Jane

Dvorak, Carol Jane is an individual health care provider with primary practice located at 4351 Booth Calloway Rd Ste 101 , North Richland Hills TX 76180-7398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dvorak, Carol Jane can be contacted via phone (817) 284-1165.

Contact Information

Primary practice address
4351 Booth Calloway Rd Ste 101 North Richland Hills TX 76180-7398
Phone: (817) 284-1165
Fax: (817) 284-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 230697 Texas

Profile Details

NPI number 1639793730
LBN Legal business name Dvorak, Carol Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 6 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 1639793730 NPPES
Texas Other 230697 NURSE LICENSE

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