Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | F0562 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | F0562 | TX |
NPI | 1447257183 |
---|---|
Provider Name | Dr. David R Lionberger |
First Address | Houston, TX 77030-2750 |
Second Address | Houston, TX 77030-2750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 26/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1323164-07 | (05) | TX |
132316410 | (05) | TX |
B24404 | (02) | TX |