Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | C4912 | AR |
NPI | 1023026739 |
---|---|
Provider Name | Dr. Francisco Batres |
First Address | Little Rock, AR 72205-6417 |
Second Address | Little Rock, AR 72205-6417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D04341 | (02) | AR |