Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 31955 | TN |
N | 207L00000X | Anesthesiologist | M3638 | TX |
NPI | 1013908565 |
---|---|
Provider Name | Dr. Craig Campbell Mcfarland |
First Address | Fort Sam Houston, TX 78234-4501 |
Second Address | Fort Sam Houston, TX 78234-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 13/11/2007 |