Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | L6230 | TX |
Y | 207VG0400X | Gynecologist | 61881 | GA |
NPI | 1053405993 |
---|---|
Provider Name | Daniel Esteves |
First Address | Lawrenceville, GA 30044-7710 |
Second Address | Hoschton, GA 30548-4056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 26/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
640386678A | (05) | GA |
H91773 | (02) | TX |