Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | A158789 | CA |
Y | 207T00000X | Neurosurgeon | S7122 | TX |
NPI | 1083980056 |
---|---|
Provider Name | Dr. Daniel Raper |
First Address | Houston, TX 77030-4202 |
Second Address | Houston, TX 77030-4202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 13/08/2020 |