Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | K8847 | TX |
NPI | 1033196050 |
---|---|
Provider Name | Mr. Oscar David Taunton JR. |
First Address | Bedford, TX 76021-5011 |
Second Address | Bedford, TX 76021-5011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 10/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042191904 | (05) | TX |
E88737 | (02) |