Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | M1929 | TX |
N | 207RH0003X | Hematology & Oncology | M1929 | TX |
NPI | 1174518450 |
---|---|
Provider Name | Carl Richard Meier |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-4427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 18/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
170797801 | (05) | TX |