Edwards, Vanzanell
Edwards, Vanzanell is an sole proprietor health care provider with primary practice located at 7801 Marlborough Dr W , Fort Worth TX 76134-4309. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Edwards, Vanzanell can be contacted via phone (817) 568-1445.Contact Information
Primary practice address
7801 Marlborough Dr W
Fort Worth TX 76134-4309
Phone: (817) 568-1445
Fax: (817) 782-9304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 136989 | Texas |
Profile Details
| NPI number | 1831529080 |
|---|---|
| LBN Legal business name | Edwards, Vanzanell |
| Credentials | ADMINISTOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2013 |
| Last updated | Nov 24th, 2013 - about 13 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 | 1831529080 | NPPES |
| Texas | MEDICAID | 75-2645166 | |
| Texas | Other | 75-2645166 |
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