Provider Demographics
NPI:1538610019
Name:IN-HOUSE DOC, INC.
Entity type:Organization
Organization Name:IN-HOUSE DOC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARIZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-245-9519
Mailing Address - Street 1:1820 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2722
Mailing Address - Country:US
Mailing Address - Phone:336-245-9519
Mailing Address - Fax:
Practice Address - Street 1:1820 GRACE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2722
Practice Address - Country:US
Practice Address - Phone:336-245-9519
Practice Address - Fax:336-245-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital