TET TOE MD INC NPI 1639618481

NPI Information

NPI: 1639618481
Provider Name: TET TOE MD INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2132912

Address:
1580 CREEKSIDE DR
SUITE 130
FOLSOM, CA
ZIP 95630
Phone: (916) 542-1458
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TET TOE MD INC is a primary care clinic center in Folsom, CA. TET TOE MD INC NPI is 1639618481. The provider is registered as an organization entity type.

The provider's business location address is:

1580 CREEKSIDE DR
SUITE 130
FOLSOM, CA
ZIP 95630-886
Phone: (916) 542-1458
Fax: (916) 542-1456

The provider's authorized official is Angela Graves .
The authorized official title is Office Manager and has the following contact phone number (916) 542-1458.

The CLIA number assigned to this NPI record is 05D2132912 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.

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	261QP2300X	Clinic/Center	Primary Care	A105047	CALIFORNIA	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

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