Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | F9236 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | F9236 | TX |
NPI | 1174518377 |
---|---|
Provider Name | Anthony Brentlinger |
First Address | Arlington, TX 76012-0489 |
Second Address | Arlington, TX 76015-1629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 19/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
098019501 | (05) | TX |
B21492 | (02) |