Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | N7552 | TX |
N | 208600000X | Surgeon | N7552 | TX |
N | 2086S0120X | Pediatric Surgery | 106313 | MO |
N | 2086S0120X | Pediatric Surgery | N7552 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | 106313 | MO |
Y | 2086S0122X | Plastic and Reconstructive Surgery | N7552 | TX |
N | 2086S0127X | Trauma Surgeon | 106313 | MO |
N | 2086S0127X | Trauma Surgeon | N7552 | TX |
NPI | 1487671939 |
---|---|
Provider Name | Dr. Alex A Kane |
First Address | Dallas, TX 75390-9132 |
Second Address | Dallas, TX 75235-7701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204880207 | (05) | MO |
F92832 | (02) | |
TXB114605 | MEDICARE PTAN (01) | TX |