Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | M5577 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | M5577 | TX |
NPI | 1316013709 |
---|---|
Provider Name | Debra Gail Weinberger |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 06/05/2016 |