Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | F7740 | TX |
NPI | 1073527008 |
---|---|
Provider Name | Dr. Emery W Dilling |
First Address | Austin, TX 78756-4010 |
Second Address | Austin, TX 78756-4010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125016901 | (05) | TX |
330001516 | RR MEDICARE (01) | TX |
824098 | BCBS AUSTIN (01) | TX |
85003X | BCBS SAN ANGELO (01) | TX |
B22274 | (02) | TX |