Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | Q3454 | TX |
Y | 111NI0900X | Internist | Q3454 | TX |
NPI | 1003259458 |
---|---|
Provider Name | Sean Allan Townsend |
First Address | Plano, TX 75093-5371 |
Second Address | Plano, TX 75093-5371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2013 |
Last Update Date | 11/08/2016 |