Phelps, Patricia Bagwell

Phelps, Patricia Bagwell is an individual health care provider with primary practice located at 5701 Bryant Irvin Rd Suite 304, Fort Worth TX 76132-4029. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phelps, Patricia Bagwell can be contacted via phone (817) 361-5037.

Contact Information

Primary practice address
5701 Bryant Irvin Rd Suite 304 Fort Worth TX 76132-4029
Phone: (817) 361-5037
Fax: (817) 361-5031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 513015 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 513015 Texas

Profile Details

NPI number 1053353235
LBN Legal business name Phelps, Patricia Bagwell
Credentials MSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 15th, 2009 - about 17 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 1053353235 NPPES
Texas MEDICAID 155963502
Texas Other 8N9358

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