Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 78-155 | NM |
Y | 207RS0012X | Sleep Medicine | NM 78-155 | NM |
NPI | 1083615181 |
---|---|
Provider Name | Paul Feil |
First Address | Las Cruces, NM 88011-5049 |
Second Address | Las Cruces, NM 88011-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 16/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110004038 | RR MEDICARE (01) | NM |
15404 | PRESBYTERIAN (01) | NM |
25015 | (05) | NM |
850397044 | CHAMPUS (01) | NM |
88011A00Z | WPS TRICARE (01) | NM |
D43117 | (02) | |
NM000803 | BC/BS (01) | NM |