Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5958 | TX |
N | 111NN0400X | Neurology | 5958 | TX |
NPI | 1275830408 |
---|---|
Provider Name | Mark Allen Darner |
First Address | Denton, TX 76209-1541 |
Second Address | Denton, TX 76205-8192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2011 |
Last Update Date | 24/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5958 | TBCE (01) | TX |