Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | S4673 | TX |
NPI | 1043630858 |
---|---|
Provider Name | Dr. Henry Haoyu Ran |
First Address | Dallas, TX 75284-4658 |
Second Address | Pflugerville, TX 78660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2014 |
Last Update Date | 06/01/2022 |