Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | K7271 | TX |
NPI | 1659472173 |
---|---|
Provider Name | Dr. Rosinda Castanon De La Pena |
First Address | Plano, TX 75093 |
Second Address | Dallas, TX 75216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |