Theresa M Fontenot in Texarkana - Physician Assistant
Theresa M Fontenot - NPI 1578558961
Theresa M Fontenot is a Physician Assistant in Texarkana, Texas. Theresa M Fontenot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theresa M Fontenot is 1578558961. The last update date is 2012-01-21.
Theresa M Fontenot's current location address is 3939 Texas Blvd, Texarkana, Texas. You can contact this provider via phone number 9032556398 and fax number 9037946305. The mailing address for Theresa M Fontenot is 3939 Texas Blvd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Fontenot |
|---|---|
| Address | 3939 Texas Blvd, Texarkana, Texas |
| Phone Number | 9032556398 |
| Fax Number | 9037946305 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1578558961 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2012-01-21 |
Provider Mailing Address Detail
| Address | 3939 Texas Blvd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755033207 |
| Phone Number | 9032556398 |
| Fax Number | 9037946305 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00982 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4995690001 | TX | CIGNA GOVERNMENT SERVICES |
Post Comment/ Review Below
What is the Theresa M Fontenot's 1578558961?
The Theresa M Fontenot's NPI (National Provider Identifier) Number is 1578558961. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theresa M Fontenot's facilities are situated?
The facilities of Theresa M Fontenot are physically located at the following address: 3939 Texas Blvd, Texarkana, TX, 755033207.
What is the Theresa M Fontenot's area of specialization and corresponding taxonomy classification?
The Theresa M Fontenot's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578558961 to Theresa M Fontenot?
The Centers for Medicare & Medicaid Services originally issued the 1578558961 to Theresa M Fontenot on 2005-09-13.
As of what date were the details related to Theresa M Fontenot most recently updated or revised?
The information pertaining to Theresa M Fontenot, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-21.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV