Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | D-0246 | TX |
NPI | 1437365558 |
---|---|
Provider Name | Dr. Gary Neil Pamplin |
First Address | Austin, TX 78731-3064 |
Second Address | Austin, TX 78731-3064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B 25361 | (02) | TX |