Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | F1545 | TX |
Y | 207KA0200X | Allergist | F1545 | TX |
NPI | 1487619995 |
---|---|
Provider Name | John A Fling |
First Address | Fort Worth, TX 76199-0335 |
Second Address | Fort Worth, TX 76107-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 05/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114065902 | (05) | TX |
114065903 | CSHCN (01) | TX |
114065905 | (05) | TX |
370004852 | RAILROAD MEDICARE PIN (01) | TX |
847311 | BCBS (01) | TX |
E77000 | (02) | TX |