Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | N4686 | TX |
NPI | 1528251568 |
---|---|
Provider Name | Dina N Rahhal |
First Address | Frisco, TX 75034-1931 |
Second Address | Frisco, TX 75034-1931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2007 |
Last Update Date | 27/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
210110704 | (05) | TX |
210110705 | (05) | TX |