Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | L0318 | TX |
NPI | 1063452019 |
---|---|
Provider Name | Dr. James Kevin Kaufman |
First Address | Hurst, TX 76054-6233 |
Second Address | Hurst, TX 76054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 27/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046445501 | (05) | TX |
H22198 | (02) | TX |