Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0116019432 | VA |
N | 208600000X | Surgeon | 0116019432 | VA |
Y | 2086S0120X | Pediatric Surgery | Q6640 | TX |
NPI | 1356533673 |
---|---|
Provider Name | Dr. Erol Martin Knott JR. |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 22/04/2021 |