Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | N5205 | TX |
N | 208200000X | Surgeon | 05-32067 | KS |
N | 208600000X | Surgeon | 05-32067 | KS |
Y | 208200000X | Surgeon | N5205 | TX |
Y | 208600000X | Surgeon | N5205 | TX |
N | 2086S0127X | Trauma Surgeon | OS16783 | FL |
NPI | 1518196898 |
---|---|
Provider Name | Dr. Joseph David Love |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 08/10/2020 |