Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | E2770 | TX |
Y | 207RS0012X | Sleep Medicine | E2770 | TX |
NPI | 1013915107 |
---|---|
Provider Name | Dr. Carlos Raul Orozco |
First Address | Georgetown, TX 78633 |
Second Address | Georgetown, TX 78628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 20/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
266257YM3U | GROUP MEMBER PTAN (01) | TX |