Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | S6622 | TX |
Y | 207YS0123X | Facial Plastic Surgeon | S6622 | TX |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | S6622 | TX |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | S6622 | TX |
NPI | 1609293620 |
---|---|
Provider Name | Dr. Victoria Brighton Givens |
First Address | West Lake Hills, TX 78746-6429 |
Second Address | West Lake Hills, TX 78746-6401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 18/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2362003 | (05) | LA |