Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | P0352 | TX |
N | 208200000X | Surgeon | 13587 | AL |
N | 208600000X | Surgeon | 13587 | AL |
NPI | 1386684918 |
---|---|
Provider Name | John S Bynon |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000085093 | (05) | AL |
000085093 | BLUE CROSS (01) | AL |
00122876 | MISSISSIPPI MEDICAID (01) | MS |
020025764 | RAILROAD MEDICARE (01) | AL |
283557101 | (05) | TX |
8CW827 | BCBSTX (01) | TX |
E40206 | VIVA (01) | AL |