Jeffrey D Decaprio Md Pa in Texarkana - Vascular Surgery

Jeffrey D Decaprio Md Pa - NPI 1235283425

Jeffrey D Decaprio Md Pa is a Vascular Surgery in Texarkana, Texas. Jeffrey D Decaprio Md Pa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jeffrey D Decaprio Md Pa is 1235283425. The last update date is 2008-03-20.

Jeffrey D Decaprio Md Pa's current location address is 2717 Summerhill Rd, Texarkana, Texas. You can contact this provider via phone number 9037940022 and fax number 9037940023. The mailing address for Jeffrey D Decaprio Md Pa is 2717 Summerhill Rd, Texarkana, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jeffrey D Decaprio Md Pa
Address 2717 Summerhill Rd, Texarkana, Texas
Phone Number 9037940022
Fax Number 9037940023
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Md D Decaprio Jeffrey
Credentials MD
Telephone Number 9032550002

NPI Number Detail

NPI Number 1235283425
Provider Enumeration Date 2007-01-23
Last Updated Date 2008-03-20

Provider Mailing Address Detail

Address 2717 Summerhill Rd
City Texarkana
State Texas (TX)
Post Code 755033957
Phone Number 9037940022
Fax Number 9037940023

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No K0284
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8P149 AR BC AR
0035MH TX BC TX
30800221800 TX QUALCHOICE
15668002 AR --
DD1753 TX RR MEDICARE

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FAQs about Jeffrey D Decaprio Md Pa

What is the unique identifier code issued to Jeffrey D Decaprio Md Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Jeffrey D Decaprio Md Pa has been assigned the NPI (National Provider Identifier) 1235283425. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jeffrey D Decaprio Md Pa's physical address?

The Jeffrey D Decaprio Md Pa is physically located at 2717 Summerhill Rd, in the city of Texarkana, TX, with the postal code 755033957.

What is the area of specialization for Jeffrey D Decaprio Md Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey D Decaprio Md Pa is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235283425 to Jeffrey D Decaprio Md Pa?

The Jeffrey D Decaprio Md Pa received its 1235283425 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

As of what date were the details related to Jeffrey D Decaprio Md Pa most recently updated or revised?

The information pertaining to Jeffrey D Decaprio Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-20.

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