Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K4281 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | K4281 | TX |
NPI | 1356303150 |
---|---|
Provider Name | Dr. Robert Edward Urrea |
First Address | El Paso, TX 79925-3413 |
Second Address | El Paso, TX 79925-3413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 23/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0067MW | BCBS (01) | TX |
029368002 | (05) | TX |
G52895 | (02) |