Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | K5117 | TX |
NPI | 1346283348 |
---|---|
Provider Name | Michael Scott Hisey |
First Address | Plano, TX 75026-2409 |
Second Address | Denton, TX 76208-5966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 20/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1299406-04 | (05) | TX |
G77101 | (02) | TX |