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NPI Code Detail

MEDICARE: MR. JAVIER LORENZO TAPIA M.D.

MEDICARE: MR. JAVIER LORENZO TAPIA M.D.
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 Physician00024891AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2051520896OTHERALBLUE CROSS

General Provider Information

NPI Number : 1629066691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAVIER LORENZO TAPIA M.D.
Provider Business Mailing Address
First Line : 46 L V STABLER DR
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3865
Country : US
Telephone Number : 334-382-9760
Fax Number : 334-383-9331
Provider Business Practice Location Address
First Line : 46 L V STABLER DR
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3865
Country : US
Telephone Number : 334-382-9760
Fax Number : 334-383-9331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 10/11/2012

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