Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 6277 | TX |
NPI | 1386859650 |
---|---|
Provider Name | Dr. Charles Frank Case |
First Address | Sherman, TX 75092-6310 |
Second Address | Sherman, TX 75092-6310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6277 | LISENSE NO. (01) | TX |
U47504 | (02) | TX |