Organization Name: | DR TONY A CAREY D.O. INC |
NPI Number: | 1033470224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY A CAREY (OWNER) |
Mailing Address: | 422 Center St Taft |
State: | CA US |
Postal Code: | 932683511 |
Phone Number: | 6617651122 |
Fax Number: | 6617651123 |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 20A6032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |