Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3074 | TX |
NPI | 1427177856 |
---|---|
Provider Name | Dr. Maury Alan Guzick |
First Address | Dallas, TX 75243-2310 |
Second Address | Carrollton, TX 75007-1971 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T13605 | (02) | TX |