Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 21915 | TX |
NPI | 1003928110 |
---|---|
Provider Name | Dr. Emmanouil Sigalas |
First Address | Dallas, TX 75206-5333 |
Second Address | Irving, TX 75062-4457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |