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TUCSON CONCUSSION CENTER LLC NPI 1114306917


NPI Information

NPI: 1114306917
Provider Name: TUCSON CONCUSSION CENTER LLC
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
5199 E FARNESS DR
SUITE 101
TUCSON, AZ
ZIP 85712
Phone: (844) 822-6824
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TUCSON CONCUSSION CENTER LLC is an adolescent medicine family medicine in Tucson, AZ. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. TUCSON CONCUSSION CENTER LLC NPI is 1114306917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5199 E FARNESS DR
SUITE 101
TUCSON, AZ
ZIP 85712-134
Phone: (844) 822-6824

The provider's authorized official is Hirsch Handmaker .
The authorized official title is Chairman/ceo and has the following contact phone number (310) 259-2090.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 11/25/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2152WV0400XOptometristVision TherapyNo
3225100000XPhysical TherapistNo
4207QA0000XFamily MedicineAdolescent MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.