Wenzel, Jeffrey Scott

Wenzel, Jeffrey Scott is an individual health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wenzel, Jeffrey Scott can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 321-0387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K5428 Texas

Profile Details

NPI number 1013917731
LBN Legal business name Wenzel, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Aug 15th, 2012 - about 14 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 1013917731 NPPES
Texas MEDICAID 152589901
Texas MEDICAID 152689902
Texas MEDICAID 1526899-06

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