Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036092553 | IL |
Y | 204F00000X | Transplant Surgeon | N7755 | TX |
NPI | 1306901145 |
---|---|
Provider Name | Giuliano Testa |
First Address | Dallas, TX 75246-2003 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036092553 | (05) | IL |
284343501 | (05) | TX |
284343502 | (05) | TX |
8V8583 | BCBSTX (01) | TX |