Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | F0937 | TX |
NPI | 1003848607 |
---|---|
Provider Name | Dr. Andrew Chubick |
First Address | Dallas, TX 75246-1619 |
Second Address | Dallas, TX 75246-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 02/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14481 | (02) | TX |
CP7207 | MEDICARE RAILROAD (01) | TX |