Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 45342 | TX |
N | 208000000X | Pediatrician | 45342 | TX |
NPI | 1013196070 |
---|---|
Provider Name | Laszlo Nagy |
First Address | Lubbock, TX 79408-5865 |
Second Address | Lubbock, TX 79410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2007 |
Last Update Date | 03/12/2021 |