Sample Listing for Texas Physicians and Surgeons Directory
(1A) (1B) (2)
INTERNAL MEDICINE; ONCOLOGY; SAN ANGELO
(3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
BROWN JOHN WILLIAM ; MD; M; W; 1938; MISSISSIPPI; DPC; PT/GP;
(13) (14) (15)
MISSISSIPPI SCHOOL OF MEDICINE, JACKSON; 1962; 87654321;
(16A) (16B) (17) (18) (19) (20) (21) (22) (23)
RCPLIC; OHIO; 05/03/1969; 40+ ; AC; C0045; 1234567890; 11/30/2010; 142991111;
(24) (25) (26)
PO BOX 29249, SAN ANGELO, TX 72001; AB2223333; 915-999-2222;
(27) (28) (29)
1501 ALLEN DRIVE, SAN ANGELO, TX. 72001; 915-999-1111; K55555;
| 1A. Primary specialty 1B. Secondary specialty 2. City of practice 3. Last name 4. First name 5. Middle name, suffix 6. Type of degree 7. Sex 8. Ethnicity 9. Year of birth 10. Place of birth 11. Practice type 13. Practice setting 14. School of medicine |
15. Texas DPS number 16A. Method of licensure 16B. Place of reciprocal licensure or if TX exam 17. Date of licensure 18. Weekly hours in practice 19. Current license status 20. License number 21. Medicare NPI number 22. State permit expiration date 23. Medicaid TPI number 24. Mailing address 25. DEA registration number 26. Fax number 27. Practice address 28. Telephone number 29. Medicare UPIN |