Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | H3012 | TX |
NPI | 1184739534 |
---|---|
Provider Name | Nancy N Dambro |
First Address | Fort Worth, TX 76199-0371 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 03/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00257T | MEDICARE GROUP (01) | TX |
00U87Z | BCBSTX GRP PIN (01) | TX |
00U87Z | MEDICARE GROUP (01) | TX |
10029167 | AMERIGROUP PIN (01) | TX |
107958 | SUPERIOR PIN (01) | TX |
111200101 | FIRSTCARE PIN (01) | TX |
127419308 | (05) | TX |
127419309 | CSHCN (01) | TX |
127419310 | (05) | TX |
127419311 | CSHCN (01) | TX |
137345810 | CSHCN GROUP (01) | TX |
1393065 | UHC PIN (01) | TX |
140442852 | MEDICAID GROUP (01) | TX |
150220508 | MEDICAID GROUP (01) | TX |
150220509 | CSHCN GROUP (01) | TX |
1640378 | FIRSTHEALTH PIN (01) | TX |
1750369203 | GRP NPI NUMBER (01) | |
3064727 | CIGNA PIN (01) | TX |
4389790 | AETNA PIN (01) | TX |
89V241 | BCBSTX IND PIN (01) | TX |
E77553 | (02) |