Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | H8070 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | H8070 | TX |
NPI | 1053311985 |
---|---|
Provider Name | Darren Eugene Geyer |
First Address | Austin, TX 78735-8982 |
Second Address | Austin, TX 78735-8982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 21/01/2015 |