Basic Information
| Provider Information | |||||||||
| NPI: | 1902085111 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FX RX INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 27647 | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852857647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804914004 | ||||||||
| FaxNumber: | 4807771345 | ||||||||
| Practice Location | |||||||||
| Address1: | 60 E RIO SALADO PKWY | ||||||||
| Address2: | SIUTE 505 | ||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852819124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804493979 | ||||||||
| FaxNumber: | 4807189824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2007 | ||||||||
| LastUpdateDate: | 06/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | DEWANJEE | ||||||||
| AuthorizedOfficialFirstName: | SUMIT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 4807770607 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.