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Texas Standardized Credentialing ApplicationAttachment C Other Work HistoryPREVIOUS PRACTICE/EMPLOYER NAME START DATE/END DATE (MM/YYY TO MM/YYY) ADDRESS CITY STATE/COUNTRY POSTAL CODE REASON FOR
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The Texas standardized credentialing application attachment is a document used to provide additional information for healthcare providers seeking credentialing.
All healthcare providers applying for credentialing in Texas are required to file the standardized application attachment.
The attachment should be completed with accurate and up-to-date information regarding the healthcare provider's credentials, experience, and education.
The purpose of the attachment is to ensure that healthcare providers meet the necessary qualifications and standards for credentialing in Texas.
Information such as education, training, work history, licensure, insurance, and professional references must be reported on the attachment.
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