Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | M3544 | TX |
NPI | 1306865456 |
---|---|
Provider Name | Dr. Nicholas A Fiore II |
First Address | Houston, TX 77065-3687 |
Second Address | Houston, TX 77065-3687 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 14/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183538104 | (05) | TX |
8AV210 | BLUE CROSS BLUE SHIELD (01) | TX |
I60523 | (02) | TX |