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1265521710 NPI number — FIDEL FABIAN SENDRA MD

NPI Number: 1265521710
Health Care Provider/Practitioner: FIDEL FABIAN SENDRA MD

Information about “1265521710” NPI (FIDEL FABIAN SENDRA MD) exists in 1265521710 in HTML format HTML  |  1265521710 in plain Text format TXT  |  1265521710 in PDF (Portable Document Format) PDF  |  1265521710 in an XML format XML  formats.

NPI Number : 1265521710 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265521710",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SENDRA",
    "FirstName": "FIDEL",
    "MiddleName": "FABIAN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 321359",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLOWOOD",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39232-1359",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-936-1395",
    "MailingAddressFaxNumber": "601-933-6596",
    "FirstLinePracticeLocationAddress": "3311 PRESCOTT RD STE 312",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71301-3984",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-443-0490",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2006",
    "LastUpdateDate": "02/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208G00000X",
        "TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
        "LicenseNumber": "13230R",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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