Farris, Beverly L
Farris, Beverly L is an sole proprietor health care provider with primary practice located at 12221 Merit Dr Suite 1610, Dallas TX 75251-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Farris, Beverly L can be contacted via phone (903) 647-0860.Contact Information
Primary practice address
12221 Merit Dr Suite 1610
Dallas TX 75251-2202
Phone: (903) 647-0860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 722916 | Texas |
Profile Details
| NPI number | 1265772503 |
|---|---|
| LBN Legal business name | Farris, Beverly L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2013 |
| Last updated | May 22nd, 2017 - about 9 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 | 1265772503 | NPPES |
| Texas | MEDICAID | 325623201 | |
| Texas | MEDICAID | 325623202 |
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