Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 21500 | NE |
Y | 111NI0900X | Internist | 21500 | NE |
N | 207RG0300X | Geriatric Medicine | 21500 | NE |
NPI | 1124005921 |
---|---|
Provider Name | Neena Biswas |
First Address | Coppell, TX 75019-3158 |
Second Address | Dallas, TX 75203-1201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 27/11/2007 |