Fajardo, Jose D
Fajardo, Jose D is an sole proprietor health care provider with primary practice located at 1620 W Highway 287 Business , Waxahachie TX 75165-4706. He recently has 7 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Fajardo, Jose D can be contacted via phone (972) 938-1368.Contact Information
Primary practice address
1620 W Highway 287 Business
Waxahachie TX 75165-4706
Phone: (972) 938-1368
Fax: (972) 938-1354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0863 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0863 | Texas |
Profile Details
| NPI number | 1699809921 |
|---|---|
| LBN Legal business name | Fajardo, Jose D |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Dec 14th, 2021 - about 5 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 | 1699809921 | NPPES |
| Texas | MEDICAID | 018835101 |
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