Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | L6791 | TX |
NPI | 1013935691 |
---|---|
Provider Name | Dr. Daniel M Bitner I |
First Address | San Antonio, TX 78232-1913 |
Second Address | San Antonio, TX 78205-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 09/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L6791 | MEDICAL LICENSE NUMBER (01) | TX |