Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | FTL41421 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | 45072 | TX |
NPI | 1053334466 |
---|---|
Provider Name | Dr. Seckin Omer Ulualp |
First Address | Dallas, TX 75390-9035 |
Second Address | Dallas, TX 75235-7701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 12/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
174468201 | (05) | TX |
I35777 | (02) | TX |