Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | L8532 | TX |
NPI | 1043206436 |
---|---|
Provider Name | Scott A Thurman |
First Address | Arlington, TX 76017-5993 |
Second Address | Fort Worth, TX 76132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 03/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
170049401 | (05) | TX |
170049402 | (05) | TX |
170049404 | (05) | TX |
1700494403 | (05) | TX |
I06373 | (02) | TX |