Healthcare Provider Details

I. General information

NPI: 1881840908
Provider Name (Legal Business Name): PLINY INPATIENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 CAMPUS AVE # 97 SUITE 7
LEWISTON ME
04240-6055
US

IV. Provider business mailing address

1717 MAIN ST SUITE 5200
DALLAS TX
75201-4612
US

V. Phone/Fax

Practice location:
  • Phone: 207-777-4677
  • Fax:
Mailing address:
  • Phone: 214-712-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGEL ISCOVICH
Title or Position: OWNER
Credential: MD
Phone: 214-712-2000