Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 13056 | TX |
NPI | 1083764732 |
---|---|
Provider Name | Dr. Steven Richard Alspach |
First Address | Denton, TX 76201-3026 |
Second Address | Denton, TX 76201-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |