Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | L1479 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | L1479 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | L1479 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | L1479 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | L1479 | TX |
NPI | 1619924529 |
---|---|
Provider Name | Steven Jackson Thornton |
First Address | Dallas, TX 75231-5103 |
Second Address | Dallas, TX 75231-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 08/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168092801 | (05) | TX |
168092802 | (05) | TX |
8BZ909 | BCBS (01) | TX |
8K1803 | BCBS (01) | TX |
I15311 | (02) |