Healthcare Provider Details

I. General information

NPI: 1003942863
Provider Name (Legal Business Name): CENTER FOR ASSISTED REPRODUCTIVE TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 MURPHY AVE SUITE 605
NASHVILLE TN
37203-2023
US

IV. Provider business mailing address

2011 MURPHY AVE SUITE 605
NASHVILLE TN
37203-2023
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-8899
  • Fax:
Mailing address:
  • Phone: 615-321-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number131
License Number StateTN

VIII. Authorized Official

Name: MR. JAIME MOISES VASQUEZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 615-321-8899