Centrosalud PC

Specialist · Memphis, TN

Organization Active NPI

NPI number 1003951963

Practice location

1068 Cresthaven Rd
Suite 300
Memphis, TN 38119-0800
Phone
(901) 683-0024
Fax
(901) 683-0028

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NPI record

NPI
1003951963
Entity type
Organization (Type 2)
Enumeration date
February 20, 2007
Last updated
August 17, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MD000035089 TN

Mailing address

6063 Mount Moriah Road Ext
Suite 4
Memphis, TN 38115-2644
Phone
(901) 531-8800
Fax
(901) 531-8801

Authorized official

Name
Mr. Dwight B Cowan
Title
COO
Phone
(901) 531-8800

Other names

  • LifeDOC

About Centrosalud PC

Centrosalud PC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800. The NPI number 1003951963 was assigned on February 20, 2007 and the record was last updated on August 17, 2010.

Centrosalud PC lists a license in the registry: #MD000035089 (TN) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Dwight B Cowan, COO.

Frequently asked questions

What is the NPI number of Centrosalud PC?

The NPI number is 1003951963.

What is the phone number of Centrosalud PC?

The phone number listed for the practice location is (901) 683-0024.

Where is Centrosalud PC located?

1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800.

What is the taxonomy code for Centrosalud PC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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