Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | L8598 | TX |
N | 207RP1001X | Pulmonary Disease | L8598 | TX |
NPI | 1063410777 |
---|---|
Provider Name | Adolfo Noe Anchondo |
First Address | El Paso, TX 79902-1123 |
Second Address | El Paso, TX 79902-1124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
167973002 | (05) | TX |
H73824 | (02) | TX |