Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | J4395 | TX |
N | 208600000X | Surgeon | J4395 | TX |
Y | 2086S0127X | Trauma Surgeon | J4395 | TX |
NPI | 1437185303 |
---|---|
Provider Name | Dr. Brian Joseph Norkiewicz |
First Address | Lubbock, TX 79410-1234 |
Second Address | Lubbock, TX 79410-1303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 20/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F70033 | (02) | |
P000009Q0 | (05) | TX |