Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | M1650 | TX |
Y | 208600000X | Surgeon | M1650 | TX |
NPI | 1003887977 |
---|---|
Provider Name | Dr. James Mitchell Dye |
First Address | Corpus Christi, TX 78414-2459 |
Second Address | Corpus Christi, TX 78414-2459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 04/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45910 | (02) | TX |