Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 10870 | MT |
Y | 207T00000X | Neurosurgeon | H9239 | TX |
NPI | 1104852847 |
---|---|
Provider Name | Yves J. Meyer |
First Address | Fort Worth, TX 76104-2145 |
Second Address | Fort Worth, TX 76104-2145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 20/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
098491603 | (05) | TX |