Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | L7805 | TX |
Y | 2088P0231X | Pediatric Urologist | G53246 | CA |
NPI | 1053313213 |
---|---|
Provider Name | Irene Mary Mcaleer |
First Address | El Paso, TX 79902-5807 |
Second Address | Madera, CA 93636-8761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 05/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G532460 | (05) | CA |
162419902 | (05) | TX |
F01561 | (02) | TX |