Harwell, Deloris Renee
Harwell, Deloris Renee is an individual health care provider with primary practice located at 104 E Us Highway 80 Ste 190 , Forney TX 75126. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Harwell, Deloris Renee can be contacted via phone (469) 602-5277.Contact Information
Primary practice address
104 E Us Highway 80 Ste 190
Forney TX 75126
Phone: (469) 602-5277
Fax: (469) 995-7898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP117846 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 703123 | Texas |
Profile Details
| NPI number | 1346478252 |
|---|---|
| LBN Legal business name | Harwell, Deloris Renee |
| Credentials | PNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Apr 30th, 2020 - about 6 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 | 1346478252 | NPPES |
| Texas | MEDICAID | 1346478252 | |
| Texas | MEDICAID | 203992707 |
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