Doctor Name: | EMMANUEL TANCINCO |
NPI Number: | 1639393895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | One Mercy Lane Suite 405 Hot Springs, AR - 71913 |
Business Phone Number: | 5016223979 |
Business Fax Number: | 5016223993 |
Mailing Address: | Po Box 21850, HOT SPRINGS |
State: | AR |
Postal Code: | 719031850 |
Phone Number: | 5016868000 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |