Provider Demographics
NPI:1750579801
Name:HYADOC CONSULTANTS INC
Entity type:Organization
Organization Name:HYADOC CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-917-8884
Mailing Address - Street 1:3303 S LINDSAY RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1503
Mailing Address - Country:US
Mailing Address - Phone:480-917-8884
Mailing Address - Fax:480-937-3339
Practice Address - Street 1:3303 S LINDSAY RD
Practice Address - Street 2:SUITE 125
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-1503
Practice Address - Country:US
Practice Address - Phone:480-917-8884
Practice Address - Fax:480-937-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ103217Medicare PIN