Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | Q4387 | TX |
Y | 208600000X | Surgeon | Q4387 | TX |
NPI | 1003045386 |
---|---|
Provider Name | Dr. Allison Dipasquale |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75237-3461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 10/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
348566601 | (05) | TX |
348566602 | (05) | TX |
348566604 | (05) | TX |