Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D2592 | TX |
NPI | 1194718197 |
---|---|
Provider Name | Donald F Senter |
First Address | Garland, TX 75042-5714 |
Second Address | Garland, TX 75042-5714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 27/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B26347 | (02) | TX |