Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | F5702 | TX |
NPI | 1003891763 |
---|---|
Provider Name | Jacob S Plotkin |
First Address | Brownsville, TX 78520-8645 |
Second Address | Brownsville, TX 78520-8645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 20/10/2011 |