Valdivia Carlisle, Taran
Valdivia Carlisle, Taran is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Valdivia Carlisle, Taran can be contacted via phone (210) 220-7896.Contact Information
Primary practice address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 220-7896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0102207067 | Virginia |
Profile Details
| NPI number | 1750917258 |
|---|---|
| LBN Legal business name | Valdivia Carlisle, Taran |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2020 |
| Last updated | Mar 10th, 2022 - about 4 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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