Provider Demographics
NPI:1528382876
Name:JANIS BARGFELDT CARE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:JANIS BARGFELDT CARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, GNP-C
Authorized Official - Phone:903-360-5938
Mailing Address - Street 1:11004 FM 773
Mailing Address - Street 2:
Mailing Address - City:MURCHISON
Mailing Address - State:TX
Mailing Address - Zip Code:75778-1761
Mailing Address - Country:US
Mailing Address - Phone:903-360-5938
Mailing Address - Fax:903-469-3255
Practice Address - Street 1:11004 FM 773
Practice Address - Street 2:
Practice Address - City:MURCHISON
Practice Address - State:TX
Practice Address - Zip Code:75778-1761
Practice Address - Country:US
Practice Address - Phone:903-360-5938
Practice Address - Fax:903-469-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX626597363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty