1437185154 NPI number — DR. NESRIN ONUR M.D.

Table of content: DR. NESRIN ONUR M.D. (NPI 1437185154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437185154 NPI number — DR. NESRIN ONUR M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ONUR
Provider First Name:
NESRIN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437185154
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 GASTON AVE
Provider Second Line Business Mailing Address:
BARNETT TOWER, 707
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75246-1800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-823-6492
Provider Business Mailing Address Fax Number:
214-818-9180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3600 GASTON AVE
Provider Second Line Business Practice Location Address:
WADLEY TOWER, 261
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75246-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-818-9100
Provider Business Practice Location Address Fax Number:
214-818-9180
Provider Enumeration Date:
06/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZC0500X , with the licence number:  F2833 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X , with the licence number: F2833 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 101426803 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8977K3 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P00255063 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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