Idoux, John W

Idoux, John W is an individual health care provider with primary practice located at 2601 Thornton Ln , Temple TX 76502-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Idoux, John W can be contacted via phone (254) 724-6622.

Contact Information

Primary practice address
2601 Thornton Ln Temple TX 76502-1808
Fax: (254) 742-6620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X N5119 Texas

Profile Details

NPI number 1548317332
LBN Legal business name Idoux, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548317332 NPPES
Texas MEDICAID 215792701

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