Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | H0330 | TX |
NPI | 1669477568 |
---|---|
Provider Name | Dr. David Engler |
First Address | Pasadena, TX 77504-3336 |
Second Address | Pasadena, TX 77504-3336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E04461 | (02) | TX |