Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | L1383 | TX |
Y | 208600000X | Surgeon | L1383 | TX |
N | 2086S0102X | Surgical Critical Care | L1383 | TX |
N | 2086S0127X | Trauma Surgeon | L1383 | TX |
N | 2086X0206X | Surgical Oncologist | L1383 | TX |
NPI | 1346392032 |
---|---|
Provider Name | Dr. Steven Maskal |
First Address | Irving, TX 75063-0118 |
Second Address | Dallas, TX 75234-7841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 11/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H03213 | (02) |