Chanda Lea Nicosia is a Surgical in Tyler, Texas. Chanda Lea Nicosia practices all healthcare services and medical treatments related to Surgical. The NPI Number for Chanda Lea Nicosia is 1316114655. The last update date is 2015-11-18.
Chanda Lea Nicosia's current location address is 13674 Arizona Dr, Tyler, Texas. You can contact this provider via phone number 9032163561 and fax number 9035666816. The mailing address for Chanda Lea Nicosia is 13674 Arizona Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chanda Lea Nicosia |
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Address | 13674 Arizona Dr, Tyler, Texas |
Phone Number | 9032163561 |
Fax Number | 9035666816 |
Sole Proprietor | Y |
Credentials | CSFA/LSA |
NPI Number Detail
NPI Number | 1316114655 |
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Provider Enumeration Date | 2008-05-15 |
Last Updated Date | 2015-11-18 |
Provider Mailing Address Detail
Address | 13674 Arizona Dr |
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City | Tyler |
State | Texas (TX) |
Post Code | 757076806 |
Phone Number | 9032163561 |
Fax Number | 9035666816 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Chanda Lea Nicosia's unique identification number?
The Chanda Lea Nicosia has been assigned the NPI (National Provider Identifier) Number 1316114655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Chanda Lea Nicosia is geographically located?
The Chanda Lea Nicosia is physically situated at the following location: 13674 Arizona Dr, Tyler, TX, 757076806.
What is the Chanda Lea Nicosia's specialty and taxonomy code?
The Chanda Lea Nicosia's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
When did Chanda Lea Nicosia receive its 1316114655 assignment?
The Chanda Lea Nicosia was assigned its 1316114655 on 2008-05-15, which is the date when this unique identifier was issued to the organization.
When was the Chanda Lea Nicosia's information last updated?
The Chanda Lea Nicosia's information was last updated on 2015-11-18.
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