Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 27127 | TX |
Y | 1223D0004X | Dentist Anesthesiologist | 27127 | TX |
NPI | 1538456132 |
---|---|
Provider Name | Dr. Maya L Chillar |
First Address | Rowlett, TX 75088 |
Second Address | Rowlett, TX 75088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 17/12/2013 |