Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1882 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 1882 | TX |
NPI | 1386802270 |
---|---|
Provider Name | Dr. Cynthia Kay Hemesath |
First Address | Decatur, TX 76234-0976 |
Second Address | Decatur, TX 76234-3745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 04/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2048217 | (05) | TX |