Goetz, Ira Allene

Goetz, Ira Allene is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Goetz, Ira Allene can be contacted via phone (214) 645-8800.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-8800
Fax: (214) 645-8801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X AP124184 Texas

Profile Details

NPI number 1932513033
LBN Legal business name Goetz, Ira Allene
Credentials ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Nov 13th, 2018 - about 8 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 1932513033 NPPES
Texas Other 15440 RX ID

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