Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | G3283 | TX |
NPI | 1164460002 |
---|---|
Provider Name | Dr. Claude Andrew Denham |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 01/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
138265701 | (05) | TX |
138265702 | (05) | TX |
138265703 | (05) | TX |
138265704 | (05) | TX |
138265705 | (05) | TX |
138265706 | (05) | TX |
138265707 | (05) | TX |
138265708 | CHSCN (01) | TX |
138265710 | (05) | TX |
8R1424 | BLUE CROSS OF TEXAS (01) | TX |
D75162 | (02) |