Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 30839 | TX |
NPI | 1023311685 |
---|---|
Provider Name | Dr. Bernardo F Sarmiento JR. |
First Address | Cypress, TX 77429-5208 |
Second Address | Cypress, TX 77429-5208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2010 |
Last Update Date | 26/02/2017 |