Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | AP2567 | FL |
NPI | 1053642470 |
---|---|
Provider Name | Dr. David Brochstein |
First Address | Dallas, TX 75230-1281 |
Second Address | Dallas, TX 75230-1281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2010 |
Last Update Date | 25/01/2010 |