Jacquelene Mitchell Adiele in Killeen - Internal Medicine

Jacquelene Mitchell Adiele - NPI 1609896497

Jacquelene Mitchell Adiele is a Internal Medicine in Killeen, Texas. Jacquelene Mitchell Adiele practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jacquelene Mitchell Adiele is 1609896497. The last update date is 2013-12-17.

Jacquelene Mitchell Adiele's current location address is Po Box 938, Killeen, Texas. You can contact this provider via phone number 2546346999 and fax number 2542004099. The mailing address for Jacquelene Mitchell Adiele is Po Box 938, Killeen, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelene Mitchell Adiele
Address Po Box 938, Killeen, Texas
Phone Number 2546346999
Fax Number 2542004099
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1609896497
Provider Enumeration Date 2006-07-21
Last Updated Date 2013-12-17

Provider Mailing Address Detail

Address Po Box 938
City Killeen
State Texas (TX)
Post Code 765400938
Phone Number 2546346999
Fax Number 2542004099

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No J2678
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
34049902 TX --
1609896497 INDIVIDUAL NPI
TXB158053 TX MEDICARE
J2678 TX TX MEDICAL BOARD LICENSE

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FAQs about Jacquelene Mitchell Adiele

What is the unique provider identifier assigned to Jacquelene Mitchell Adiele?

The Jacquelene Mitchell Adiele has been issued the NPI (National Provider Identifier) 1609896497 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 Jacquelene Mitchell Adiele's facilities are geographically located?

The facilities of Jacquelene Mitchell Adiele are physically situated at the following location: Po Box 938, Killeen, TX, 765400938.

What is the Jacquelene Mitchell Adiele's area of specialization and corresponding taxonomy classification?

The Jacquelene Mitchell Adiele's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1609896497 to Jacquelene Mitchell Adiele?

The Centers for Medicare & Medicaid Services originally issued the 1609896497 to Jacquelene Mitchell Adiele on 2006-07-21.

As of what date were the details related to Jacquelene Mitchell Adiele most recently updated or revised?

The information pertaining to Jacquelene Mitchell Adiele, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-17.

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