Doctor Name: | ALFONSO Q ESTRADA |
NPI Number: | 1932168697 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036-057641 |
Business Practice Address: | 1429 N 6th St Terre Haute, IN - 478071037 |
Business Phone Number: | 8122423175 |
Business Fax Number: | 8122423543 |
Mailing Address: | 221 S 6th St, TERRE HAUTE |
State: | IN |
Postal Code: | 478074214 |
Phone Number: | 8122423175 |
Fax Number: | 8122423543 |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036-057641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |