Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | K3504 | TX |
NPI | 1053380469 |
---|---|
Provider Name | Ewen Y Tseng |
First Address | Frisco, TX 75034-4197 |
Second Address | Frisco, TX 75034-4197 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 11/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G50515 | (02) | TX |