Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D9002 | TX |
Y | 111NI0900X | Internist | D9002 | TX |
N | 207SG0201X | Clinical Genetics (M.D.) | D9002 | TX |
NPI | 1346696994 |
---|---|
Provider Name | Dr. Charles Thomas Caskey |
First Address | Houston, TX 77005-3802 |
Second Address | Houston, TX 77030-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2016 |
Last Update Date | 24/10/2016 |