Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | R4600 | TX |
Y | 2086S0127X | Trauma Surgeon | R4600 | TX |
NPI | 1174815765 |
---|---|
Provider Name | Kara Monday |
First Address | Dallas, TX 75204-5900 |
Second Address | Dallas, TX 75204-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2011 |
Last Update Date | 17/03/2018 |