Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | P2798 | TX |
NPI | 1043453095 |
---|---|
Provider Name | Dr. Andrew Ryan Tomlinson |
First Address | Dallas, TX 75390-8550 |
Second Address | Dallas, TX 75235-7708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 02/09/2012 |