Candace Suzanne St Percival in Jbsa Ft Sam Houston - Pediatric Endocrinology
Candace Suzanne St Percival - NPI 1063507101
Candace Suzanne St Percival is a Pediatric Endocrinology in Jbsa Ft Sam Houston, Texas. Candace Suzanne St Percival practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Candace Suzanne St Percival is 1063507101. The last update date is 2022-04-07.
Candace Suzanne St Percival's current location address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can contact this provider via phone number 2105399582 and fax number 2109169333. The mailing address for Candace Suzanne St Percival is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace Suzanne St Percival |
|---|---|
| Address | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
| Phone Number | 2105399582 |
| Fax Number | 2109169333 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063507101 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Jbsa Ft Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2105399582 |
| Fax Number | 2109169333 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 101241708 |
|
Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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What is the unique identifier code issued to Candace Suzanne St Percival by the Centers for Medicare & Medicaid Services?
The Candace Suzanne St Percival has been assigned the NPI (National Provider Identifier) 1063507101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Candace Suzanne St Percival is physically located?
The Candace Suzanne St Percival is physically situated at the following address: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 782344504.
What is the Candace Suzanne St Percival's specialty and taxonomy code?
The Candace Suzanne St Percival's specialty is Pediatric Endocrinology, and the corresponding taxonomy code is 2080P0205X.
On what date did Candace Suzanne St Percival receive its 1063507101 assignment from the Centers for Medicare & Medicaid Services?
The Candace Suzanne St Percival was assigned its 1063507101 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Candace Suzanne St Percival most recently updated or revised?
The details related to Candace Suzanne St Percival, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-07.
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