Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | J1621 | TX |
Y | 208600000X | Surgeon | J1621 | TX |
N | 2086S0105X | Surgery of the Hand | J1621 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | J1621 | TX |
NPI | 1346331493 |
---|---|
Provider Name | Nir Binur |
First Address | Port Arthur, TX 77642-8079 |
Second Address | Port Arthur, TX 77642-8079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 21/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110428302 | (05) | TX |
E48469 | (02) | TX |
TXB145536 | MEDICARE PTAN (01) | TX |