Individual
MARIO FIGUEROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 423-4919
Mailing address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 265-8220
(731) 265-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39906
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1348845
CIGNA
TN
01
—
168579
UNISON
TN
05
—
3333293
—
TN
01
—
35071
TLC
TN
01
—
4108545
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/20/2005
Last updated
07/12/2007
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