Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | L8869 | TX |
NPI | 1043267941 |
---|---|
Provider Name | Dr. Nicholas Onaca |
First Address | Fort Worth, TX 76104-4110 |
Second Address | Fort Worth, TX 76104-4110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
182476501 | (05) | TX |
182476502 | (05) | TX |
8V8580 | BCBS (01) | TX |
I63275 | (02) | TX |