Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | D1411 | TX |
NPI | 1033321401 |
---|---|
Provider Name | Dr. David Sontag Dow |
First Address | Woodway, TX 76712-3629 |
Second Address | Woodway, TX 76712-3629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 12/07/2007 |