Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 47995 | TN |
N | 207P00000X | Emergency Physician | MD.206331 | LA |
Y | 207P00000X | Emergency Physician | R0663 | TX |
NPI | 1003059783 |
---|---|
Provider Name | Jeffrey Szot |
First Address | Dallas, TX 75225-2820 |
Second Address | Dallas, TX 75230-2571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 20/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08385834 | (05) | MS |
2341642 | (05) | LA |