Goings, Brenda Leath
Goings, Brenda Leath is an individual health care provider with primary practice located at 703 S Fleishel Ave # 5000 , Tyler TX 75701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goings, Brenda Leath can be contacted via phone (903) 606-7525.Contact Information
Primary practice address
703 S Fleishel Ave # 5000
Tyler TX 75701
Phone: (903) 606-7525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20058 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP134960 | Texas |
Profile Details
| NPI number | 1477925600 |
|---|---|
| LBN Legal business name | Goings, Brenda Leath |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2015 |
| Last updated | Aug 1st, 2019 - about 7 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 | 1477925600 | NPPES |
| Texas | Other | 804055 | MEDICARE |
| Texas | MEDICAID | 389172303 | MEDICARE |
| Texas | Other | 128874 | MEDICARE |
| Texas | Other | P02245618 | MEDICARE |
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