Eguiluz, Fernando
Eguiluz, Fernando is an individual health care provider with primary practice located at 3645 N Beach St , Fort Worth TX 76137-3242. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Eguiluz, Fernando can be contacted via phone (817) 759-0004.Contact Information
Primary practice address
3645 N Beach St
Fort Worth TX 76137-3242
Phone: (817) 759-0004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA09644 | Texas |
Profile Details
| NPI number | 1740581453 |
|---|---|
| LBN Legal business name | Eguiluz, Fernando |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Oct 2nd, 2023 - about 3 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 | 1740581453 | NPPES |
| Other | 1092275 | NCCPA |
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