Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4005 | TX |
NPI | 1720096316 |
---|---|
Provider Name | Dr. Robert Howell |
First Address | Oak Point, TX 75068-2236 |
Second Address | Denton, TX 76209-4809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 05/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
601549 | BCBS (01) | TX |
75-2121572 | TAX ID (01) | TX |
T13934 | (02) | TX |