Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS9973 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | N3753 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS9973 | FL |
NPI | 1346306347 |
---|---|
Provider Name | Sigy Jacob Chathanatt |
First Address | Dallas, TX 75231-4426 |
Second Address | Dallas, TX 75231-4426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 07/12/2017 |