Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 12899 | HI |
Y | 207V00000X | Obstetrician & Gynecologist | P0651 | TX |
NPI | 1003891110 |
---|---|
Provider Name | Dr. Lynn Tavares Parente |
First Address | San Antonio, TX 78232-5057 |
Second Address | San Antonio, TX 78258-4086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2005 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
287688003 | (05) | TX |