Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 6580 | TX |
N | 111NN1001X | Nutrition | 6580 | TX |
NPI | 1134278575 |
---|---|
Provider Name | Dr. Donna Louise Nayfa-Bowden |
First Address | Flower Mound, TX 75028-4825 |
Second Address | Highland Village, TX 75077-7146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C06054351 | (05) | TX |
U61679 | (02) | TX |