Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | Q5189 | TX |
NPI | 1093135816 |
---|---|
Provider Name | Dr. Shaun Peter Garff |
First Address | Dallas, TX 75052-3460 |
Second Address | Dallas, TX 75052-3460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2014 |
Last Update Date | 14/12/2018 |