Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 31884 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | 31884 | TX |
NPI | 1023408564 |
---|---|
Provider Name | Alexander Geiger |
First Address | Katy, TX 77494-6620 |
Second Address | Katy, TX 77494-6620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2015 |
Last Update Date | 07/06/2021 |