Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G0929 | TX |
N | 208600000X | Surgeon | G0929 | TX |
Y | 2086S0102X | Surgical Critical Care | G0929 | TX |
NPI | 1356368948 |
---|---|
Provider Name | Daniel W Ziegler |
First Address | Fort Worth, TX 76161-1205 |
Second Address | Fort Worth, TX 76104-4611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123905505 | (05) | TX |
123905506 | (05) | TX |
C69641 | (02) | |
P00292546 | RAILROAD MEDICARE (01) |