Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | D7295 | TX |
Y | 207QA0505X | Family Doctor - Adult Medicine | D7295 | TX |
NPI | 1265767313 |
---|---|
Provider Name | Arturo Adolfo Segovia |
First Address | Hurst, TX 76053-4048 |
Second Address | Hurst, TX 76053-4048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2009 |
Last Update Date | 24/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D7295 | STATE (01) | TX |