Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 052770-1 | NY |
N | 122300000X | Dentist | 27761 | TX |
Y | 204E00000X | Oral & Maxillofacial Surgeon | P2941 | TX |
NPI | 1245424019 |
---|---|
Provider Name | Dr. David Michael Alfi |
First Address | Houston, TX 77030-2329 |
Second Address | Houston, TX 77030-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 30/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245424019 | BLUE CROSS BLUE SHIELD (01) | TX |
306643301 | (05) | TX |