Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A50553 | CA |
NPI | 1063458321 |
---|---|
Provider Name | Dr. John T Knight |
First Address | Southlake, TX 76092-6578 |
Second Address | Southlake, TX 76092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F53661 | (02) | CA |