Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | P2989 | TX |
Y | 207ND0101X | MOHS-Micrographic Surgeon | P2989 | TX |
NPI | 1497801005 |
---|---|
Provider Name | Shayla Francis |
First Address | Dallas, TX 75231-4469 |
Second Address | Dallas, TX 75231-4469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 20/02/2013 |