Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 12000R | LA |
NPI | 1023009784 |
---|---|
Provider Name | Dr. Jamal Ghazi Saqer |
First Address | Dallas, TX 75312-0001 |
Second Address | Lake Charles, LA 70601-8824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 21/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1694541 | (05) | LA |
G50882 | (02) | LA |