Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | E1659 | TX |
NPI | 1508891409 |
---|---|
Provider Name | Dr. James Donald Madden |
First Address | Frisco, TX 75034-4198 |
Second Address | Frisco, TX 75034-4198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F96347 | (02) | TX |
P000N9090 | (05) | TX |