Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | J0832 | TX |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | J0832 | TX |
NPI | 1043327943 |
---|---|
Provider Name | Dr. Wilbur W Hah |
First Address | Orange, TX 77630-4786 |
Second Address | Orange, TX 77630-4786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 19/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118527401 | (05) | TX |
1185274-04 | MEDICAID TPI (01) | TX |
84943F | BCBS OF TX (01) | TX |
8BB410 | BCBS OF TX (01) | TX |
G09802 | (02) | TX |
P089X2042 | (05) | TX |