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NPI Code Detail

MEDICARE: CENIKOR FOUNDATION

MEDICARE: CENIKOR FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician
2207QA0000XAdolescent Medicine (Family Medicine) Physician
3207QA0401XAddiction Medicine (Family Medicine) Physician
4207Q00000XFamily Medicine Physician
5207QA0505XAdult Medicine Physician
6207R00000XInternal Medicine Physician
7207RG0300XGeriatric Medicine (Internal Medicine) Physician
8208D00000XGeneral Practice Physician
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1194669218
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENIKOR FOUNDATION
Provider Business Mailing Address
First Line : PO BOX 392933
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-9900
Country : US
Telephone Number : 713-266-9944
Fax Number : 713-574-2940
Provider Business Practice Location Address
First Line : 801 CANTWELL LN
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78408-2605
Country : US
Telephone Number : 713-266-9944
Fax Number : 713-574-2940
Authorized Official
Title or Position : MGR. PAYER RELATIONS
Name : SPENCER DICKEY
Credential :
Telephone Number : 806-928-2447
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/27/2026

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Directions to “CENIKOR FOUNDATION ” Practice Location

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