Basic Information
Provider Information
NPI: 1699875666
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNOX
FirstName: HECTOR
MiddleName: EMILE
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2824 64TH AVE
Address2:  
City: CHEVERLY
State: MD
PostalCode: 207853118
CountryCode: US
TelephoneNumber: 2679730122
FaxNumber:  
Practice Location
Address1: 8118 GOOD LUCK RD
Address2:  
City: LANHAM
State: MD
PostalCode: 207063595
CountryCode: US
TelephoneNumber: 3014982922
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 10/19/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XD0064835MDY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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