Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | AP144723 | TX |
NPI | 1407484553 |
---|---|
Provider Name | Michelle Finamore |
First Address | Dallas, TX 75201-6540 |
Second Address | Dallas, TX 75201-6540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2020 |
Last Update Date | 05/08/2021 |