Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | L5533 | TX |
N | 2080P0203X | Pediatric Critical Care Doctor | L5533 | TX |
Y | 2080P0208X | Pediatric Infectious Diseases | E5533 | TX |
NPI | 1629081948 |
---|---|
Provider Name | Gilbert Handal |
First Address | El Paso, TX 79995-9520 |
Second Address | El Paso, TX 79905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 12/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129763205 | (05) | TX |
E79938 | (02) | TX |