Organization
PATRICIO A. ILABACA, MD, PC
Active
Other names
cardiovascular & thoracic surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIO A. ILABACA MD (PRESIDENT)
(901) 683-6161
Entity
Organization
Contact information
Practice address
6027 WALNUT GROVE RD, SUITE 114, MEMPHIS, TN 38120-2145
(901) 683-6161
(901) 683-7998
Mailing address
6027 WALNUT GROVE RD, SUITE 114, MEMPHIS, TN 38120-2145
(901) 683-6161
(901) 683-7998
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015252
—
AR
05
—
3171424
—
TN
Enumeration date
09/25/2006
Last updated
10/18/2010
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