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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831529080 NPPES
Texas MEDICAID 75-2645166
Texas Other 75-2645166

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