Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | E6752 | TX |
NPI | 1023038973 |
---|---|
Provider Name | Dr. Fred F Ciarochi |
First Address | Duncanville, TX 75137-2347 |
Second Address | Duncanville, TX 75137-2347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |