Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R7953 | TX |
N | 111NI0900X | Internist | R7953 | TX |
Y | 207RH0000X | Hematologist | R7953 | TX |
NPI | 1295115574 |
---|---|
Provider Name | Natalie Ruth Bavli |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2015 |
Last Update Date | 03/08/2021 |