Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | G6786 | TX |
NPI | 1104853159 |
---|---|
Provider Name | Dr. Harold W Kolni |
First Address | Richardson, TX 75082-3569 |
Second Address | Dallas, TX 75203-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 01/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
105818201 | (05) | TX |
E80366 | (02) |