| Twin Peaks Family Practice Pc | |
|
2055 W Hospital Dr Ste 195 Tucson AZ 85704-7823 | |
| (520) 297-1595 | |
| (520) 572-2301 |
| Full Name | Twin Peaks Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2055 W Hospital Dr Ste 195, Tucson, Arizona |
| Authorized Official Name and Position | Vivian Castillo (PRESIDENT) |
| Authorized Official Contact | 5202971595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Peaks Family Practice Pc 2055 W Hospital Dr Ste 195 Tucson AZ 85704-7823 Ph: (520) 297-1595 | Twin Peaks Family Practice Pc 2055 W Hospital Dr Ste 195 Tucson AZ 85704-7823 Ph: (520) 297-1595 |
| NPI Number | 1942521406 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 12/03/2012 |
| Medicare PECOS PAC ID | 6800920166 |
|---|---|
| Medicare Enrollment ID | O20100823000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942521406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vivian Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790732105 PECOS PAC ID: 5597776740 Enrollment ID: I20060601000144 |
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