Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | P7273 | TX |
NPI | 1457534596 |
---|---|
Provider Name | Dr. Tamara Noel Fitzgerald |
First Address | El Paso, TX 79905-2709 |
Second Address | El Paso, TX 79905-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 12/11/2013 |