Fiduchie Health, LLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

FIDUCHIE HEALTH, LLC

Practice address

11415 Blackmore Leap
San Antonio, TX 78245-2091

Phone

(973) 782-3012

NPI assigned

Jan 30, 2022

Last updated

Jan 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fidelis Ifeanyi Ariguzo

Title

Director

Phone

(973) 782-3012

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1336892496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 S LAKEWOOD PL APT 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 BLACKMORE LEAP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452091",
            "telephone_number": "973-782-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDUCHIE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "IFEANYI ARIGUZO",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-782-3012"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Pathology/Laboratory Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Pathology/Laboratory Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.