Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G1514 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | G1514 | TX |
NPI | 1346201720 |
---|---|
Provider Name | Dr. Jose F. Pliego |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 20/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
807547 | BLUE SHIELD (01) | TX |
C20550 | (02) | TX |