MEDICARE: URIEL ENRIQUEZ

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
1	171R00000X	Interpreter		TX

General Provider Information

NPI Number	:	1710048731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URIEL ENRIQUEZ

Provider Business Mailing Address
First Line	:	6122 WALL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018
Country	:	US
Telephone Number	:	817-538-1697
Fax Number	:	817-557-1384

Provider Business Practice Location Address
First Line	:	6122 WALL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018
Country	:	US
Telephone Number	:	817-538-1697
Fax Number	:	817-557-1384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

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Directions to “ URIEL ENRIQUEZ ” Practice Location

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