# COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871223149
- **Authorized official:** NICHOLE FOWELL (CREDENTIALING MANAGER)
- **Authorized official phone:** (520) 322-6274

## Contact information

- **Practice address:** 2145 W 28TH ST STE B, YUMA, AZ 85364-1219
- **Practice address phone:** (928) 328-8338
- **Practice address fax:** (928) 328-8339
- **Mailing address:** PO BOX 208313, DALLAS, TX 75320-8313
- **Mailing address phone:** (520) 777-5030
- **Mailing address fax:** (520) 509-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 06/10/2022