Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D7866 | TX |
NPI | 1336139377 |
---|---|
Provider Name | Dr. Joseph Pflanzer |
First Address | Desoto, TX 75115-2041 |
Second Address | Desoto, TX 75115-2041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 21/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
034658701 | (05) | TX |
166010125 | PACIFICARE/SECURE HORIZON (01) | TX |
B25490 | (02) | TX |
D7866 | STATE LICENSE (01) | TX |