Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | L5095 | TX |
NPI | 1104875673 |
---|---|
Provider Name | Mr. Anil B Pinto |
First Address | Dallas, TX 75204-5225 |
Second Address | Dallas, TX 75204-5225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 10/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31575 | (02) | TX |