Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 63805 | TN |
N | 207XS0117X | Orthopaedic Spine Surgeon | S4797 | TX |
NPI | 1043697279 |
---|---|
Provider Name | Daniel Nuri Kiridly |
First Address | Plano, TX 75093-8172 |
Second Address | Nashville, TN 37207-2533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2015 |
Last Update Date | 09/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S4797 | TMB (01) | TX |