MEDICARE: CHARINA F TECSON MD

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
1	207R00000X	Internal Medicine Physician	32157	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1639145568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARINA F TECSON MD

Provider Business Mailing Address
First Line	:	6242 E ARBOR AVE
Second Line	:	SUITE 113
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	480-325-1123
Fax Number	:	480-325-1124

Provider Business Practice Location Address
First Line	:	6242 E ARBOR AVE
Second Line	:	SUITE 113
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	480-325-1123
Fax Number	:	480-325-1124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/14/2015

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Directions to “ CHARINA F TECSON MD” Practice Location

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