Provider Demographics
NPI:1548414717
Name:ROBERT E CURRY M D INC
Entity Type:Organization
Organization Name:ROBERT E CURRY M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-221-1116
Mailing Address - Street 1:5321 N FRESNO ST
Mailing Address - Street 2:SUITE 105C
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6850
Mailing Address - Country:US
Mailing Address - Phone:559-221-0251
Mailing Address - Fax:559-221-6610
Practice Address - Street 1:5321 N FRESNO ST
Practice Address - Street 2:SUITE 105C
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6850
Practice Address - Country:US
Practice Address - Phone:559-221-0251
Practice Address - Fax:559-221-6610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24344261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44234Medicare UPIN
CA00G243440Medicare PIN