Provider Demographics
NPI:1760710479
Name:DEMIRCILER, NACIYE
Entity Type:Individual
Prefix:MRS
First Name:NACIYE
Middle Name:
Last Name:DEMIRCILER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NACIYE
Other - Middle Name:
Other - Last Name:HATTAB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6904 OCEANO TER
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3568
Mailing Address - Country:US
Mailing Address - Phone:817-294-2984
Mailing Address - Fax:817-294-7337
Practice Address - Street 1:5324 WEDGMONT CIR N
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-1946
Practice Address - Country:US
Practice Address - Phone:817-263-5700
Practice Address - Fax:817-263-5707
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40706183500000X
MA22080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist