Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | M9011 | TX |
NPI | 1013133016 |
---|---|
Provider Name | Dr. Manuj Chandra Singhal |
First Address | Flower Mound, TX 75028-2783 |
Second Address | Flower Mound, TX 75028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
194933101 | (05) | TX |
8BE290 | BCBS (01) | TX |