Organization Name: | COMPREHENSIVE MEDICAL SERVICES P.C. |
NPI Number: | 1538385257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IVONNE FELIX (OWNER) |
Mailing Address: | 971 Hunt Club Blvd Auburn Hills |
State: | MI US |
Postal Code: | 483263686 |
Phone Number: | 2482994345 |
Fax Number: | 2482991288 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |