Organization Name: | CYRIAC K CHEMPLAVIL MD PC |
NPI Number: | 1942371422 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY TALBOTT (MEDICAL BILLER) |
Mailing Address: | 8965 S Pecos Rd Ste 11a Henderson |
State: | NV US |
Postal Code: | 890747159 |
Phone Number: | 7027354094 |
Fax Number: | 7027351994 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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. |