ENT MEMPHIS
NPI 1578848990
Specialist in Memphis, TN

Active since October 17, 2011
791 ESTATE PL, MEMPHIS, TN 38120(901) 821-4300(901) 821-4373 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ent Memphis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENT MEMPHIS (NPI 1578848990) is a healthcare organization registered as a specialist in Memphis, Tennessee and active in the NPI registry since October 2011. The organization lists Rande Harris Lazar, Owner, as its authorized official.

NPPES Registry Identity

NPI1578848990
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameENT MEMPHIS
Location Address791 ESTATE PLMemphis, TN 38120-0600
Mailing Address791 Estate PlMemphis, TN 38120-0600 · (901) 821-4300 · Fax (901) 821-4373
Fax(901) 821-4373
Organization SubpartNo
Authorized OfficialRande Harris LazarOwner · (901) 821-4317
Enumeration DateOctober 17, 2011
NPI 1578848990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 016275
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
791 ESTATE PL, Memphis, TN 38120

Other Identifiers 3

Medicare UPINA97853TN
Medicare PIN3014589TN
Medicaid3014587TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
791 ESTATE PL
MEMPHIS, TN 38120
Specialist
791 ESTATE PL
MEMPHIS, TN 38120
Audiologist
791 ESTATE PL
MEMPHIS, TN 38120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ent Memphis's NPI number?

The NPI number for Ent Memphis is 1578848990. It was assigned to this organization in the NPPES registry on October 17, 2011.

Where is Ent Memphis located?

Ent Memphis is located at 791 Estate Pl, Memphis, TN 38120. The listed phone number is (901) 821-4300.

What is Ent Memphis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ent Memphis was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.