Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 2014-00262 | NC |
Y | 2081P2900X | Pain Medicine | Q3678 | TX |
NPI | 1386969814 |
---|---|
Provider Name | Dr. David G Garrigues |
First Address | Southlake, TX 76092-6422 |
Second Address | Southlake, TX 76092-6422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2010 |
Last Update Date | 12/03/2021 |