Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Felix A Brizuela Jr. · Felix Brizuela Jr. | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Felix | [sources] | |||
ID Number | OS008175L | [sources] | |||
Last name | Brizuela · Brizuela Jr. | [sources] | |||
Middle name | A | [sources] | |||
NPI | 1598762635 | [sources] | |||
Address | (WV), (WV) · PO Box 2000, Bruceton Mills, WV 26525 | [sources] | |||
Last change | Last processed | First seen |
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medwv-3730aef423c70d77c4121837af379787d26a6749
· us-medpa-bab8b5d7357dc540028697c61dec42971a938bff
For experts: raw data explorer
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Sanctions | |||||
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Country | Authority | Program | Start date | End date | |
United States of America | Medicaid Management Information System | - |
Address | ||
---|---|---|
Full address | Country | |
(WV), (WV) · - WV, - WV · WV, WV | United States of America |
United States of America | Department of Human Services | - | - |
PO Box 2000, Bruceton Mills, WV 26525 | United States of America |