Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 14164 | TX |
NPI | 1083706006 |
---|---|
Provider Name | Dr. Barrie Barber Choate |
First Address | Dallas, TX 75231-4219 |
Second Address | Dallas, TX 75231-4219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |