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General NPI Number Information
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NPI Number | 1689657546
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Entity Type | Individual
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Provider Name | ADOLFO NOEL CENIZA MD
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 11801 SOUTH FWY
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City | BURLESON
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State | TX
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Zip | 76028-7021
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Country | US
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Telephone | 817-293-4304
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Fax | 817-293-7244
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Provider Business Mailing Address
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Address Line | 11838 MEDPARK DR STE 103
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City | BURLESON
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State | TX
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Zip | 76028-0278
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Country | US
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Telephone | 817-293-4304
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Fax | 817-293-7244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301066033
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | T4324
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.162621
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License Number State | IL
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