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Organization

IN-HOUSE DOC, INC

Active
Other names
In-House
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERNANDO ENRIQUE ARIZA MD (PRESIDENT/OWNER)
(336) 245-9519
Entity
Organization

Contact information

Practice address
1123 S MAIN ST, REIDSVILLE, NC 27320-5339
(336) 245-9519
(336) 245-4613
Mailing address
935 E MOUNTAIN ST STE M, KERNERSVILLE, NC 27284-3238
(336) 245-9519
(336) 245-4613

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001-01309
NC
282E00000X
Long Term Care Hospital
2001-01309
NC
314000000X
Skilled Nursing Facility
2001-01309
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10991225
CAQH
NC
05
89132JP
NC
Enumeration date
08/13/2014
Last updated
01/15/2021
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