Organization Name: | ACACIA FAMILY MEDICINE, PC |
NPI Number: | 1033275938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANTI R MARTINEZ-AKSAMIT (OWNER) |
Mailing Address: | 3801 N Campbell Ave Suite B Tucson |
State: | AZ US |
Postal Code: | 857191448 |
Phone Number: | 5207323361 |
Fax Number: | 5203233618 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 25298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |