Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | N8870 | TX |
NPI | 1205034766 |
---|---|
Provider Name | Reagan D'lynn Viney |
First Address | Midland, TX 79707-1431 |
Second Address | Midland, TX 79701-6339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TXB140780 | (02) | TX |