Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | K3491 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | K3491 | TX |
NPI | 1174529325 |
---|---|
Provider Name | Dr. Mikko Peter Tauriainen |
First Address | Arlington, TX 76014-2085 |
Second Address | Plano, TX 75093-5371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 04/01/2022 |