Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | F4206 | TX |
N | 111NI0900X | Internist | F4206 | TX |
Y | 207RX0202X | Medical Oncology | F4206 | TX |
NPI | 1033176946 |
---|---|
Provider Name | Dr. Charles F. Lemaistre |
First Address | San Antonio, TX 78229-3311 |
Second Address | San Antonio, TX 78229-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 23/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
124052501 | (05) | TX |
124052506 | (05) | TX |
124052507 | CSN (01) | TX |
8BX217 | BCBS (01) | TX |