Organization Name: | FALCON HEALTHCARE |
NPI Number: | 1013304369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODRIC FALCON (CEO/PRESIDENT) |
Mailing Address: | 8565 South Poplar Way Care Of Rod Falcon Littleton |
State: | CO US |
Postal Code: | 80130 |
Phone Number: | 7197612554 |
Fax Number: | 3036607918 |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 0990268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |