Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | D5087 | TX |
NPI | 1568458735 |
---|---|
Provider Name | W F Looney |
First Address | Denison, TX 75020-2079 |
Second Address | Denison, TX 75020-2079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 15/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
094560201 | (05) | TX |
2224468 | BLUELINK (01) | TX |
2861971002 | CIGNA (01) | TX |
4383765 | AETNA (01) | TX |
751542028 | TRICARE (01) | TX |
B24468 | (02) | TX |
D5087 | STATE LICENSE (01) | TX |
K964 | BCBS (01) | TX |