Mr. Craig Eugene Pannell
Nurse Practitioner - Psychiatric/Mental Health
3840 Hulen St
Fort Worth
, Texas 76107-7277
Mr. Craig Eugene Pannell
Nurse Practitioner - Psychiatric/Mental Health
3840 Hulen St
Fort Worth
, Texas 76107-7277
(817) 569-4300
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Craig Eugene Pannell
- Po Box 2603
- Fort Worth, TX
- Zip : 76113-2603
- Phone : (817) 569-4300
Second Address
- Mr. Craig Eugene Pannell
- 3840 Hulen St
- Fort Worth, TX
- Zip : 76107-7277
- Phone : (817) 335-3022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 661244 | TX |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP111175 | TX |
National Provider Identifier
| NPI | 1013925460 |
|---|---|
| Provider Name | Mr. Craig Eugene Pannell |
| First Address | Fort Worth, TX 76113-2603 |
| Second Address | Fort Worth, TX 76107-7277 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 24/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 168981203 | (05) | TX |
| R96700 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.