Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | H7994 | TX |
N | 208200000X | Surgeon | 34005727 | OH |
N | 208600000X | Surgeon | 34005727 | OH |
Y | 2086S0122X | Plastic and Reconstructive Surgery | H7994 | TX |
NPI | 1093785404 |
---|---|
Provider Name | Dr. David Brian Dellinger |
First Address | Austin, TX 78759-4003 |
Second Address | Austin, TX 78759-4003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 02/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2022822 | (05) | OH |
E51570 | (02) | OH |