Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D5723 | TX |
NPI | 1023266459 |
---|---|
Provider Name | Stanley Feld |
First Address | Dallas, TX 75248-5240 |
Second Address | Dallas, TX 75248-5240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 27/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C15602 | (02) | TX |
P08415617 | (05) | TX |