Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | L7481 | TX |
NPI | 1134134406 |
---|---|
Provider Name | Emily B Mclaughlin |
First Address | Fort Worth, TX 76161-1205 |
Second Address | Fort Worth, TX 76104-4833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 14/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
165907001 | (05) | TX |
I08600 | (02) | |
P00201476 | RAILROAD MEDICARE (01) |