Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | K4402 | TX |
NPI | 1235114927 |
---|---|
Provider Name | Darryl D Cuda |
First Address | San Antonio, TX 78217-5412 |
Second Address | San Antonio, TX 78217-5412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 16/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030096401 | (05) | TX |
G68475 | (02) | TX |