Luzader, Tara L

Luzader, Tara L is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Luzader, Tara L can be contacted via phone (817) 702-3431.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Phone: (817) 702-3431
Fax: (817) 927-3603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP133439 Texas

Profile Details

NPI number 1215450887
LBN Legal business name Luzader, Tara L
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2017
Last updated Aug 7th, 2023 - about 3 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.

Request for update

Popular Providers