Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | J9536 | TX |
Y | 208600000X | Surgeon | J9536 | TX |
N | 2082S0105X | Plastic Hand Surgeon | J9536 | TX |
NPI | 1851403729 |
---|---|
Provider Name | David Wesley Person |
First Address | San Antonio, TX 78240-1679 |
Second Address | San Antonio, TX 78240-1679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 05/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
189324001 | (05) | TX |
189324002 | (05) | TX |
I72828 | (02) | TX |