Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | G9507 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | G9507 | TX |
NPI | 1740323989 |
---|---|
Provider Name | Harry H Orenstein |
First Address | Dallas, TX 75246-1713 |
Second Address | Dallas, TX 75246-1713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 28/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8AJ117 | BLUE CROSS BLUE SHIELD (01) | TX |
C20065 | (02) | TX |