Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 21676 | TX |
NPI | 1245204684 |
---|---|
Provider Name | Dr. Yi-Shing Lisa Cheng |
First Address | Dallas, TX 75246 |
Second Address | Dallas, TX 75246-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 22/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1841338076 | ORAL PATHOLOGY ASSOCIATES (01) | TX |