Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 0102203064 | VA |
N | 207RA0201X | Internist - Allergy & Immunology | R8534 | TX |
NPI | 1831416197 |
---|---|
Provider Name | Charles Calais |
First Address | San Antonio, TX 78212-4811 |
Second Address | San Antonio, TX 78212-4811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2010 |
Last Update Date | 05/11/2021 |