Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | Q1196 | TX |
NPI | 1023122322 |
---|---|
Provider Name | Dr. Francis Ford Lachowsky |
First Address | Texarkana, TX 75503-9766 |
Second Address | Texarkana, TX 75503-9766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 22/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F98649 | (02) | FL |