Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | MD419095 | PA |
Y | 2080P0214X | Pediatric Pulmonologist | P6237 | TX |
NPI | 1124098496 |
---|---|
Provider Name | John M. Palmer |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76502-1814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 03/05/2017 |