Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 28461 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | Q6702 | TX |
NPI | 1215101209 |
---|---|
Provider Name | Dr. Thomas E Schlieve |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-9087 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2008 |
Last Update Date | 22/10/2018 |