Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | E8278 | TX |
Y | 207KA0200X | Allergist | E8278 | TX |
NPI | 1316924509 |
---|---|
Provider Name | Dr. Normand Francis Tremblay |
First Address | Fort Worth, TX 76107-5029 |
Second Address | Fort Worth, TX 76107-5029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 13/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B27066 | (02) | TX |