Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | P3712 | TX |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P3712 | TX |
NPI | 1194955328 |
---|---|
Provider Name | Kwame Appiagyei Ennin |
First Address | Plano, TX 75093-8338 |
Second Address | Plano, TX 75093-8338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 06/10/2020 |