Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 25755 | TX |
Y | 1223X0400X | Orthodontists | 48873 | CA |
NPI | 1063424968 |
---|---|
Provider Name | Dr. John William Alkire |
First Address | New Braunfels, TX 78130-6115 |
Second Address | New Braunfels, TX 78130-6115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 29/10/2010 |