1447570510 NPI number — DR. MARIE THERESE ANICIA JAVIER SINGSON DDS

Table of content: DR. MARIE THERESE ANICIA JAVIER SINGSON DDS (NPI 1447570510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447570510 NPI number — DR. MARIE THERESE ANICIA JAVIER SINGSON DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGSON
Provider First Name:
MARIE THERESE ANICIA
Provider Middle Name:
JAVIER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SINGSON
Provider Other First Name:
MARIE THERESE
Provider Other Middle Name:
JAVIER
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1447570510
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6039 WHITBY RD
Provider Second Line Business Mailing Address:
APT #1307
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78240-2363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-446-6600
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9262 CULEBRA RD
Provider Second Line Business Practice Location Address:
#107
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78251-3571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-680-0860
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  25501 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)