Mcinnis, John Tyler

Mcinnis, John Tyler is an individual health care provider with primary practice located at 600 W 52Nd St , Texarkana TX 75503-2980. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Mcinnis, John Tyler can be contacted via phone (903) 792-6700.

Contact Information

Primary practice address
600 W 52Nd St Texarkana TX 75503-2980
Phone: (903) 792-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP214920 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP1023722 Texas

Profile Details

NPI number 1568132629
LBN Legal business name Mcinnis, John Tyler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2021
Last updated Sep 20th, 2021 - about 5 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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