Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | E6374 | AR |
Y | 207RH0002X | Hospice and Palliative Medicine | H6493 | TX |
NPI | 1346253713 |
---|---|
Provider Name | Dennis Samuel Pacl |
First Address | Manor, TX 78653-5012 |
Second Address | Manor, TX 78653-5012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 17/03/2018 |