Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | P1748 | TX |
NPI | 1013117886 |
---|---|
Provider Name | David Robert Eng |
First Address | San Antonio, TX 78265-4717 |
Second Address | San Antonio, TX 78229-5640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 23/07/2012 |