Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | J0632 | TX |
N | 207RX0202X | Medical Oncology | J0632 | TX |
NPI | 1144263633 |
---|---|
Provider Name | Dr. Luis Pineiro |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 18/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000K7445 | (05) | NM |
100220600A | (05) | OK |
134948202 | (05) | TX |
134948205 | (05) | TX |
134948207 | CSHCN (01) | TX |
8R1525 | BLUE CROSS OF TEXAS (01) | TX |
E10694 | (02) |