Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | R4054 | TX |
NPI | 1013274612 |
---|---|
Provider Name | Dr. Bailor L Hardman |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 17/03/2018 |