Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | J5638 | TX |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | J5638 | TX |
NPI | 1558315739 |
---|---|
Provider Name | Dr. Thomas A Salzer |
First Address | Bryan, TX 77802-5361 |
Second Address | College Station, TX 77845-6080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 31/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126523312 | (05) | TX |