Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD164001 | OR |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | R6642 | TX |
NPI | 1083642987 |
---|---|
Provider Name | David Franklin Oakes |
First Address | Lubbock, TX 79410-1105 |
Second Address | Lubbock, TX 79410-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 19/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003871900 | (05) | ID |
1083642987 | FIRSTCARE (01) | TX |
384320301 | (05) | TX |
4883908 | (05) | NM |
654414 | MEDICARE (01) | TX |
8JG587 | BCBS (01) | TX |
E72456 | (02) | ID |