Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | M2050 | TX |
NPI | 1023002227 |
---|---|
Provider Name | Sara Robert |
First Address | Mckinney, TX 75070-0000 |
Second Address | Mckinney, TX 75070-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 16/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31933 | (02) | TX |