Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | P9750 | TX |
NPI | 1669792248 |
---|---|
Provider Name | Joseph Tayar |
First Address | Austin, TX 78759 |
Second Address | Austin, TX 78759-5792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 11/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
576356YKZJ | MEDICARE (01) | |
576356YZXY | MEDICARE (01) |