Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | F6894 | TX |
NPI | 1245230507 |
---|---|
Provider Name | Charles H Machell |
First Address | San Antonio, TX 78299-2600 |
Second Address | San Antonio, TX 78201-2038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 21/07/2010 |