Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M5696 | TX |
N | 111NI0900X | Internist | M5696 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | 7625646-1205 | UT |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 7625646-1205 | UT |
NPI | 1295921989 |
---|---|
Provider Name | Michael D Eifling |
First Address | Bedford, TX 76021-6604 |
Second Address | Bedford, TX 76021-6604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2007 |
Last Update Date | 11/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295921989 | (05) | UT |