Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D9370 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | D9370 | TX |
NPI | 1396704961 |
---|---|
Provider Name | Dr. Hanes H. Brindley JR. |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 26/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010126-01 | (05) | TX |
1010126-02 | CSHCN (01) | TX |
200039614 | RR/MEDICARE (01) | TX |
807448 | BLUE SHIELD (01) | TX |
C13762 | (02) | TX |