Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | Q4451 | TX |
Y | 111NI0900X | Internist | Q4451 | TX |
N | 207RH0002X | Hospice and Palliative Medicine | Q4451 | TX |
NPI | 1265767768 |
---|---|
Provider Name | Dr. John Brian Chan Lim II |
First Address | San Antonio, TX 78230-5119 |
Second Address | San Antonio, TX 78217-4851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2009 |
Last Update Date | 29/01/2021 |