Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 83-322 | NM |
N | 2080P0201X | Pediatric Allergist | G9233 | TX |
NPI | 1447367750 |
---|---|
Provider Name | Stanislaus Ting |
First Address | El Paso, TX 79995-9520 |
Second Address | El Paso, TX 79905-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 27/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103735002 | (05) | TX |
32219 | (05) | NM |
D36000 | (02) | NM |
D36000 | (02) | TX |