Teoxon, Luis Servano

Teoxon, Luis Servano is an sole proprietor health care provider with primary practice located at 11750 Sterling Ave Ste C , Riverside CA 92503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as his primary health care specialty. Teoxon, Luis Servano can be contacted via phone (951) 637-8752.

Contact Information

Primary practice address
11750 Sterling Ave Ste C Riverside CA 92503
Phone: (951) 637-8752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 22969 California

Profile Details

NPI number 1700207388
LBN Legal business name Teoxon, Luis Servano
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2013
Last updated Dec 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700207388 NPPES
Texas Other F1212085 AANP CERTIFICATION

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