IZAGUIRREWC L L C NPI 1811639982

NPI Information

NPI: 1811639982
Provider Name: IZAGUIRREWC L L C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2266226

Address:
1110 S STEWART RD STE B
SAN JUAN, TX
ZIP 78589
Phone: (956) 309-3290
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IZAGUIRREWC L L C is a family nurse practitioner in San Juan, TX. IZAGUIRREWC L L C NPI is 1811639982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 S STEWART RD STE B
SAN JUAN, TX
ZIP 78589-206
Phone: (956) 309-3290

The provider's authorized official is Saul Izaguirre .
The authorized official title is Sole Member /president and has the following contact phone number (956) 648-2968.

The CLIA number assigned to this NPI record is 45D2266226 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2022 and was last updated on 4/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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