Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G9236 | TX |
NPI | 1033165220 |
---|---|
Provider Name | Dr. Jenny Tseng |
First Address | Mckinney, TX 75070-8145 |
Second Address | Mckinney, TX 75070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 29/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D49392 | (02) | TX |