Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | K6577 | TX |
Y | 207VG0400X | Gynecologist | K6577 | TX |
NPI | 1588689301 |
---|---|
Provider Name | Michael J England |
First Address | Fort Worth, TX 76161-1205 |
Second Address | Fort Worth, TX 76104-4148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 05/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047602002 | (05) | TX |
110245600 | RAILROAD MEDICARE (01) |