Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 6815 | TX |
Y | 213ER0200X | Radiology | 6815 | TX |
NPI | 1609903103 |
---|---|
Provider Name | Dr. Janet Dutkin Pitts |
First Address | Plano, TX 75024-5283 |
Second Address | Plano, TX 75024-5283 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
608057 | BCBS - ALSO CORP. NPI (01) | TX |
U60567 | (02) | TX |