Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | . D7809 | TX |
NPI | 1033451448 |
---|---|
Provider Name | Dr. Anthony Charles Billings |
First Address | Kyle, TX 78640-4333 |
Second Address | Kyle, TX 78640-4333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2013 |
Last Update Date | 24/03/2013 |