Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | | TEXAS | No |
| 2 | 208100000X | Physical Medicine & Rehabilitation | | | TEXAS | No |
| 3 | 2083X0100X | Preventive Medicine | Occupational Medicine | | TEXAS | No |
| 4 | 111N00000X | Chiropractor | | 9693 | TEXAS | No |
| 5 | 204R00000X | Electrodiagnostic Medicine | | | TEXAS | No |
| 6 | 207LP2900X | Anesthesiology | Pain Medicine | | TEXAS | No |
| 7 | 2084N0400X | Psychiatry & Neurology | Neurology | | TEXAS | No |
| 8 | 2084N0402X | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | | TEXAS | No |
| 9 | 208D00000X | General Practice | | F9289 | TEXAS | No |
| 10 | 208VP0000X | Pain Medicine | Pain Medicine | | TEXAS | No |
| 11 | 207R00000X | Internal Medicine | | N1732 | TEXAS | Yes |