Northwest Diagnostic Clinic, Pa in Shenandoah - Internal Medicine

Northwest Diagnostic Clinic, Pa - NPI 1942209515

Northwest Diagnostic Clinic, Pa is a Internal Medicine in Shenandoah, Texas. Northwest Diagnostic Clinic, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Northwest Diagnostic Clinic, Pa is 1942209515. The last update date is 2022-07-21.

Northwest Diagnostic Clinic, Pa's current location address is 8845 Six Pines Dr Fl 2, Shenandoah, Texas. You can contact this provider via phone number 8322325500 and fax number 8322325510. The mailing address for Northwest Diagnostic Clinic, Pa is 8845 Six Pines Dr Fl 2, Shenandoah, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Diagnostic Clinic, Pa
Address 8845 Six Pines Dr Fl 2, Shenandoah, Texas
Phone Number 8322325500
Fax Number 8322325510
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AUTHORIZED
Authorized Official Name Fillman D Stephen
Credentials MD
Telephone Number 8322325500

NPI Number Detail

NPI Number 1942209515
Provider Enumeration Date 2005-07-18
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 8845 Six Pines Dr Fl 2
City Shenandoah
State Texas (TX)
Post Code 7738026750
Phone Number 8322325500
Fax Number 8322325510

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
162607901 TX --
00T359 TX BCBS OF TEXAS

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FAQs about Northwest Diagnostic Clinic, Pa

What is the unique provider identifier assigned to Northwest Diagnostic Clinic, Pa?

The Northwest Diagnostic Clinic, Pa has been issued the NPI (National Provider Identifier) 1942209515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Northwest Diagnostic Clinic, Pa's facilities are geographically located?

The facilities of Northwest Diagnostic Clinic, Pa are physically situated at the following location: 8845 Six Pines Dr Fl 2, Shenandoah, TX, 7738026750.

What is the Northwest Diagnostic Clinic, Pa's area of specialization and corresponding taxonomy classification?

The Northwest Diagnostic Clinic, Pa's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When was the Northwest Diagnostic Clinic, Pa's 1942209515 issued?

The Northwest Diagnostic Clinic, Pa's 1942209515 was issued on 2005-07-18.

As of what date were the details pertaining to Northwest Diagnostic Clinic, Pa last refreshed?

The information related to the Northwest Diagnostic Clinic, Pa, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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