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NPI Code Detail

MEDICARE: MARIO FIGUEROA MD

MEDICARE: MARIO FIGUEROA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician39906TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
235071OTHERTNTLC
31348845OTHERTNCIGNA
4168579OTHERTNUNISON
54108545OTHERTNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1548259690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO FIGUEROA MD
Provider Business Mailing Address
First Line : 294 SUMMAR DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3915
Country : US
Telephone Number : 731-265-8220
Fax Number : 731-265-8355
Provider Business Practice Location Address
First Line : 294 SUMMAR DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3915
Country : US
Telephone Number : 731-423-1932
Fax Number : 731-423-4919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/12/2007

Similar Medicare Providers

1871596973 — DR. GREGORY ERWIN MITCHELL MD
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-423-4919
1326045154 — EDMUND T PALMER MD
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-423-4919
1780686436 — UNIVERSITY OF TENNESSEE
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-423-4919
1093705576 — DR. DAVID LONNIE MANESS D.O.
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-410-0367
1760472906 — DR. SCOTT MICHAEL SADLER M.D.
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-410-0367
1831167295 — DAVID EUGENE ROBERTS MD
Practice Location Address:
294 SUMMAR DR
JACKSON, TN
38301-3915
Practice Phone: 731-423-1932
Practice Fax: 731-423-4919

Directions to “ MARIO FIGUEROA MD” Practice Location

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