Healthcare Provider Details

I. General information

NPI: 1932265964
Provider Name (Legal Business Name): FAMILY ENT PHYSICIANS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD SUITE 210
WILMINGTON DE
19808-5400
US

IV. Provider business mailing address

1941 LIMESTONE RD SUITE 210
WILMINGTON DE
19808-5400
US

V. Phone/Fax

Practice location:
  • Phone: 302-998-0300
  • Fax:
Mailing address:
  • Phone: 302-998-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TEIXIDO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-998-0300