Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | P0890 | TX |
N | 207U00000X | Nuclear Medicine Specialist | P0890 | TX |
NPI | 1285845743 |
---|---|
Provider Name | Dr. Anshul Agarwal |
First Address | Dallas, TX 75241 |
Second Address | Dallas, TX 75241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 26/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
323341303 | (05) | TX |