Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | M4308 | TX |
NPI | 1487611463 |
---|---|
Provider Name | Ira G. Lown |
First Address | Austin, TX 78746-5266 |
Second Address | Austin, TX 78746-5266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 04/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00Y032 | (02) | TX |
189732401 | (05) | TX |