Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 16557 | TX |
NPI | 1699826834 |
---|---|
Provider Name | Dr. John C Britton |
First Address | Laredo, TX 78041-6903 |
Second Address | Laredo, TX 78041-6903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 11/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U71120 | (02) | TX |