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NPI Code Detail

MEDICARE: MICHELLE MARIE CECCHINI M.D.

MEDICARE:   MICHELLE MARIE CECCHINI  M.D.
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
1207T00000XNeurological Surgery PhysicianS1368TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710142971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE CECCHINI M.D.
Provider Business Mailing Address
First Line : 2829 BABCOCK RD STE 106
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-6009
Country : US
Telephone Number : 206-543-6420
Fax Number :
Provider Business Practice Location Address
First Line : 2827 BABCOCK RD STE 106
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4813
Country : US
Telephone Number : 210-955-9055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2008
Last Update Date : 09/05/2024

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