Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K6157 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | K6157 | TX |
N | 2086S0105X | Surgery of the Hand | K6157 | TX |
NPI | 1093710816 |
---|---|
Provider Name | Dr. Christopher Miskovsky |
First Address | Dallas, TX 75231-4405 |
Second Address | Dallas, TX 75231-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 10/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
031148203 | (05) | TX |
031148204 | (05) | TX |
200040251 | MEDICARE B RAILROAD (01) | TX |
8DS330 | BCBS (01) | TX |
G72942 | (02) | TX |
P01212938 | MEDICARE RR (01) | TX |