Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | M0729 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | M0729 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M0729 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M0729 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | M0729 | TX |
NPI | 1154455921 |
---|---|
Provider Name | Nathan F Gilbert |
First Address | Dallas, TX 75265-0500 |
Second Address | Dallas, TX 75251-2322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 16/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
187126101 | (05) | TX |
8AD830 | BCBS (01) | TX |