Provider Demographics
NPI:1316102346
Name:NARCISO O. INEZ M.D.P.C.
Entity type:Organization
Organization Name:NARCISO O. INEZ M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARCISO
Authorized Official - Middle Name:O
Authorized Official - Last Name:INEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MDPC
Authorized Official - Phone:248-601-1103
Mailing Address - Street 1:PO BOX 70418
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-0009
Mailing Address - Country:US
Mailing Address - Phone:248-601-1103
Mailing Address - Fax:
Practice Address - Street 1:1451 CHEVY CIRCUIT
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3905
Practice Address - Country:US
Practice Address - Phone:248-601-1103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty