Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | H5554 | TX |
N | 207RH0003X | Hematology & Oncology | H5554 | TX |
NPI | 1477526895 |
---|---|
Provider Name | David J Friedman |
First Address | Dallas, TX 75391-1230 |
Second Address | San Antonio, TX 78240-5251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044039801 | (05) | TX |
136783110 | (05) | TX |
E04483 | (02) | TX |
P01547624 | RAILROAD MEDICARE (01) | TX |