Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G1759 | TX |
N | 208000000X | Pediatrician | G1759 | TX |
N | 2080P0201X | Pediatric Allergist | G1759 | TX |
NPI | 1326140195 |
---|---|
Provider Name | Howard Max Rosenblatt |
First Address | Austin, TX 78723-3078 |
Second Address | Austin, TX 78723-3078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 21/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132935108 | (05) | TX |
C21308 | (02) | TX |