Frejoles, Elyssee

Frejoles, Elyssee is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Frejoles, Elyssee can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax: (254) 724-7603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP140133 Texas

Profile Details

NPI number 1871942508
LBN Legal business name Frejoles, Elyssee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2016
Last updated May 10th, 2021 - about 4 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 1871942508 NPPES
Texas MEDICAID 403558601
Texas Other 403558602
Texas Other 8LT457

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