Pedro T. Salcedo, M.D.,Plc

LBN: Pedro T. Salcedo, M.D.,Plc
Pedro T. Salcedo, M.D.,Plc is an health care organization with primary practice located at 311 Landrum Pl Suite 200, Clarksville TN 37043-6319. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Pedro T. Salcedo, M.D.,Plc can be contacted via phone (931) 906-8818, or through Salcedo, Marissa Pulanco via phone (931) 906-8818.

Contact Information

Primary practice address
311 Landrum Pl Suite 200 Clarksville TN 37043-6319
Phone: (931) 906-8818
Fax: (931) 906-8898
Website:
Map and Directions
Authorized official contact:
Name: Salcedo, Marissa Pulanco
Phone: (931) 906-8818

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X MD28194 Tennessee

Profile Details

NPI number 1235515206
LBN Legal business name Pedro T. Salcedo, M.D.,Plc
DBA Doing business as
Authorized official Salcedo, Marissa Pulanco
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2015
Last updated Jul 31st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235515206 NPPES
Tennessee MEDICAID 3802904

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