| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Felix A Brizuela Jr. · Felix Brizuela Jr. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [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 | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
us-medpa-bab8b5d7357dc540028697c61dec42971a938bff · us-medwv-3730aef423c70d77c4121837af379787d26a6749For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid Management Information System | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| PO Box 2000, Bruceton Mills, WV 26525 | United States | |
| United States | Department of Human Services | - | - |
| (WV), (WV) · - WV, - WV · WV, WV | United States |