Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7321 | TX |
N | 111NN0400X | Neurology | 7321 | TX |
NPI | 1760429849 |
---|---|
Provider Name | Dr. Kimberly M Pinson-Erb |
First Address | Coppell, TX 75019-5050 |
Second Address | Coppell, TX 75019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 29/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5223835 | FIRST HEALTH PROVIDER # (01) | TX |
5756609 | AETNA PROVIDER # (01) | TX |
658710 | MEDICARE (01) | TX |
828260 | BCBS PROVIDER # (01) | TX |
U68502 | (02) | TX |