Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | Q8122 | TX |
NPI | 1275899734 |
---|---|
Provider Name | William F Pientka II |
First Address | Dallas, TX 75373-2973 |
Second Address | Fort Worth, TX 76104-7300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2012 |
Last Update Date | 12/09/2018 |