Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | J2702 | TX |
NPI | 1306926712 |
---|---|
Provider Name | Barry L. Myones |
First Address | Sugar Land, TX 77478-5417 |
Second Address | Sugar Land, TX 77478-5417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 06/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
133036701 | (05) | TX |
C85694 | (02) |