Mimi Van Der Leden in Spring - Family Medicine

Mimi Van Der Leden - NPI 1932166741

Mimi Van Der Leden is a Family Medicine in Spring, Texas. Mimi Van Der Leden practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mimi Van Der Leden is 1932166741. The last update date is 2013-07-09.

Mimi Van Der Leden's current location address is 18425 Champion Forest Dr, Spring, Texas. You can contact this provider via phone number 2813764410 and fax number 2812517505. The mailing address for Mimi Van Der Leden is 18425 Champion Forest Dr, Spring, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mimi Van Der Leden
Address 18425 Champion Forest Dr, Spring, Texas
Phone Number 2813764410
Fax Number 2812517505
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1932166741
Provider Enumeration Date 2006-04-26
Last Updated Date 2013-07-09

Provider Mailing Address Detail

Address 18425 Champion Forest Dr
City Spring
State Texas (TX)
Post Code 773793999
Phone Number 2813764410
Fax Number 2812517505

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No L1227
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0045JQ TX BCBS#

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FAQs about Mimi Van Der Leden

What is the unique 10-digit identifier code issued to Mimi Van Der Leden by the Centers for Medicare & Medicaid Services?

The Mimi Van Der Leden has been assigned the NPI (National Provider Identifier) 1932166741 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mimi Van Der Leden is physically located?

The Mimi Van Der Leden is situated at the following address: 18425 Champion Forest Dr, Spring, TX 773793999.

What is Mimi Van Der Leden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mimi Van Der Leden is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

When was the Mimi Van Der Leden's 1932166741 issued?

The Mimi Van Der Leden's 1932166741 was issued on 2006-04-26.

When was the information pertaining to Mimi Van Der Leden most recently updated or revised?

The details related to Mimi Van Der Leden, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-09.

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