Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | E6001 | TX |
NPI | 1083601462 |
---|---|
Provider Name | David P Zarin |
First Address | Spring, TX 77379-7052 |
Second Address | Spring, TX 77379-7052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 10/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102123003 | (05) | TX |
218503 | BEECHSTREET (01) | TX |
B27788 | (02) | TX |