Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | M5856 | TX |
N | 208600000X | Surgeon | M5856 | TX |
Y | 2086S0127X | Trauma Surgeon | M5856 | TX |
NPI | 1437191640 |
---|---|
Provider Name | Michael Atkinson Norman |
First Address | Webster, TX 77598-8534 |
Second Address | Webster, TX 77598-4959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180471801 | (05) | TX |
I53133 | (02) |