TUCSON CONCUSSION CENTER LLC – NPI #1114306917
Family Medicine
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
TUCSON CONCUSSION CENTER LLC is a provider located in TUCSON, AZ. NPPES has assigned the NPI number 1114306917 to TUCSON CONCUSSION CENTER LLC on May 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine
The NPI profile was previously updated about 11 years ago on Nov 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TUCSON CONCUSSION CENTER LLC below.
NPI Profile for
TUCSON CONCUSSION CENTER LLC
(more than 11 years ago)
SUITE 101
TUCSON, AZ 85712-2134 Phone: (844) 822-6824 Fax:
SUITE 101
TUCSON, AZ 85712-2134 Phone: (520) 620-9100 Fax: (844) 822-6824
CHAIRMAN/CEO
Phone: (310) 259-2090
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0000X - Family Medicine / Adolescent Medicine (Primary) |
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| 225100000X - Physical Therapist |
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| 152WV0400X - Optometrist / Vision Therapy |
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| 103TC0700X - Psychologist / Clinical |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.